Attorney-Approved  Living Will Form for California Prepare Form Here

Attorney-Approved Living Will Form for California

A California Living Will form, also known as an advance healthcare directive, allows individuals to outline their preferences regarding medical treatment in the event they are no longer capable of making decisions themselves. This document gives people the power to guide their healthcare, ensuring their wishes are honored even when they cannot communicate. It is a crucial step for any adult to consider, providing peace of mind for both them and their loved ones.

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In California, individuals possess the right to make informed decisions about their own healthcare, including the types of medical treatment they wish to receive or refuse, particularly in situations where they are unable to communicate their wishes directly. This empowerment comes through the California Living Will form, a crucial document that serves as a testament to one’s healthcare preferences under circumstances of severe illness or incapacitation. It outlines specific instructions for medical treatment, ensuring that healthcare providers adhere to the individual's wishes regarding life-sustaining procedures, palliative care, and other critical medical interventions. By completing this form, individuals not only assert control over their medical treatment but also relieve their loved ones of the burden of making difficult healthcare decisions on their behalf. The significance of the California Living Will form extends beyond its practical function; it represents a personal and legal assertion of one’s rights and desires in the face of life’s most challenging moments.

California Living Will Sample

California Living Will Template

This California Living Will Template complies with the relevant sections of the California Probate Code related to health care directives. It is designed to clearly communicate your wishes regarding medical treatment when you are unable to do so yourself.

Personal Information:

  • Full Name: ___________________________
  • Date of Birth: ___________________________
  • Address: ___________________________
  • City: ___________________________
  • State: California
  • Zip Code: ___________________________

Part I: Health Care Directive

Determined by my values and beliefs, I want my health care to be guided by the instructions below if I become incapacitated to the point where I can no longer communicate my wishes myself.

Choice Regarding Life-Sustaining Treatment:

  1. I want my life to be prolonged as long as possible within the limits of generally accepted health care standards.
  2. I do not want my life to be prolonged if (a) I am in an irreversible coma or persistent vegetative state, (b) I have a terminal condition where the application of life-sustaining measures would only prolong the dying process, or (c) if the burdens of the treatment outweigh the expected benefits. My agent, named below, is authorized to make decisions about withdrawing or refusing treatments on my behalf.

Part II: Appointment of Health Care Agent

I designate the following individual as my agent to make health care decisions for me:

  • Name of Agent: ___________________________
  • Relationship to Me: ___________________________
  • Primary Phone: ___________________________
  • Alternative Phone: ___________________________

Alternate Agent (In case the primary agent is unwilling, unable, or ineligible to act as my agent):

  • Name of Alternate Agent: ___________________________
  • Relationship to Me: ___________________________
  • Primary Phone: ___________________________
  • Alternative Phone: ___________________________

Part III: Organ Donation

Upon my death:

  1. I give any needed organs, tissues, or parts for transplantation.
  2. I give only the following organs, tissues, or parts _________________ for transplantation.
  3. I do not wish to donate any organs, tissues, or parts.

Part IV: Signature

This document is intended to be legally binding. By signing below, I confirm I am mentally competent, fully understand the contents of this living will, and acknowledge it expresses my desires concerning my health care.

_____________________________

Signature

_____________________________

Date

Witness Declaration

This living will was signed in my presence. The principal appeared to be of sound mind and free from duress.

Witness 1:

  • Name: ___________________________
  • Signature: ___________________________
  • Date: ___________________________

Witness 2:

  • Name: ___________________________
  • Signature: ___________________________
  • Date: ___________________________

This document does not serve as a replacement for legal advice. Consider consulting with a lawyer to ensure your wishes are legally documented and in alignment with current California legislation.

PDF Specifications

Fact Detail
Governing Law The California Living Will is governed by the California Probate Code, sections 4600-4678.
Name of the Document In California, a Living Will is commonly referred to as an "Advance Health Care Directive."
Purpose It allows individuals to outline their preferences for medical treatment in situations where they are no longer able to make decisions due to incapacity.
Components The form typically includes decisions about life support, pain relief, organ donation, and primary physician selection.
Validity Requirements Must be signed by the declarant (or someone at the declarant's direction) in the presence of two witnesses or a notary public.
Witnesses Restrictions Neither witness can be the agent designated in the directive, related by blood or marriage, financially responsible for the declarant's medical care, or a health care provider.
Revocation The individual can revoke or change the directive at any time when they are competent, either through a written, dated statement, orally, or by creating a new advance health care directive.

Detailed Steps for Using California Living Will

Completing a California Living Will form is an important step in healthcare planning, offering peace of mind to both the individual and their loved ones. It allows one to clearly communicate their wishes regarding medical treatment in scenarios where they might not be able to express their preferences. The process involves thoughtful consideration and clear instructions to ensure that the document accurately reflects one's end-of-life care decisions and is legally compliant. With careful attention to detail and by following the step-by-step instructions provided, individuals can effectively complete their California Living Will form.

  1. Start by gathering all necessary personal information, including your full legal name, address, birth date, and social security number.
  2. Read the beginning section of the form carefully to understand the scope of decisions that can be made with a Living Will. This will help in making informed choices.
  3. Appoint a health care agent by providing the name, address, and contact details of the person you trust to make health care decisions if you are unable to do so. This person is often called a "health care proxy."
  4. Specify your end-of-life treatment preferences, including decisions about life support, artificial nutrition and hydration, and pain management. Be as clear and specific as possible about your wishes.
  5. Consider including instructions about organ donation if this is something you wish to do. Clearly state your decision regarding organ and tissue donation for transplantation or medical research.
  6. Review the conditions under which your Living Will becomes effective, usually when you are unable to make your own medical decisions as certified by one or more physicians.
  7. Sign the form in the presence of two witnesses who are not your health care agent or beneficiaries of your estate. California law may require these witnesses to meet certain criteria, such as not being related to you or financially responsible for your medical care.
  8. Have the witnesses sign the form, verifying that you are signing the document voluntarily and under no undue influence. Some versions of the form may also require notarization; if so, ensure a notary public witnesses your signature and completes the relevant section.
  9. Finally, inform your health care provider, family, and anyone else who might be involved in your health care about your Living Will. Provide them with a copy to ensure your wishes are known and can be followed.

Once the form is completed and copies are distributed to the relevant parties, it's a good idea to review and update it periodically, especially after any significant life events or changes in your health care preferences. This proactive approach ensures that your Living Will remains an accurate reflection of your wishes for medical treatment and end-of-life care.

Things to Know About California Living Will

  1. What is a California Living Will?

    A California Living Will, also known as an advance healthcare directive, is a legal document that allows individuals to outline their preferences for medical treatment in the event they become unable to communicate these wishes themselves. This may include instructions regarding the use of life-sustaining treatments, such as resuscitation or artificial nutrition and hydration, under certain medical conditions.

  2. Who should have a Living Will?

    Any competent adult in California can and should consider creating a Living Will. It’s particularly important for those with strong preferences about their health care treatment, those with chronic or serious illnesses, and those undergoing major surgeries. However, even if you're currently in good health, a Living Will can provide peace of mind by ensuring your medical care aligns with your values and wishes should unexpected medical situations arise.

  3. How do you create a Living Will in California?

      To create a Living Will in California, the following steps should be taken:

    • First, consider your healthcare preferences, including conditions under which you would want or not want certain types of medical interventions.
    • Next, complete the California Living Will form. While this can be done on your own, consulting with a healthcare provider or legal advisor can provide additional clarity and assurance.
    • Sign and date the document in the presence of two witnesses or a notary public. Witnesses should not be healthcare providers or related to you by blood, marriage, or adoption.
    • Finally, inform your family, close friends, and healthcare providers of your Living Will and provide them with copies.
  4. Can a Living Will be changed or revoked?

    Yes, a Living Will in California can be changed or completely revoked at any time by the individual who created it, provided they are still mentally competent. To do this, one should communicate their new wishes verbally to their healthcare provider, destroy the original document, create a new Living Will, or issue a written statement that revokes the existing directive. It’s crucial to also inform family members and healthcare providers of any changes to ensure the new wishes are clearly understood and followed.

Common mistakes

When people fill out the California Living Will form, also known as an Advance Health Care Directive, they often make mistakes that can impact the effectiveness and clarity of their health care wishes. Here are some common errors to avoid:

  1. Not being specific about treatment preferences. Many people make the mistake of not clearly stating their preferences for specific medical treatments or end-of-life care. This can lead to confusion or disputes among family members and healthcare providers about what actions to take.

  2. Failing to update it regularly. Life changes such as marriage, divorce, the birth of a child, or a significant change in health can alter one's wishes for care. Failing to update the document to reflect these changes can lead to a living will that no longer accurately represents the person's current wishes.

  3. Not discussing their wishes with the healthcare agent. It's crucial to have a conversation with the person appointed as the healthcare agent to ensure they understand and are willing to honor the individual's healthcare preferences. Without this discussion, the agent may be unprepared to make informed decisions when needed.

  4. Choosing an unsuitable healthcare agent. The role of a healthcare agent is vital. Selecting someone who is not up to the task, either because they live too far away, are uncomfortable with making healthcare decisions, or may not respect the person’s wishes, can be problematic.

  5. Omitting mental health treatment preferences. Many individuals forget to include instructions regarding mental health care in their living will, which can be as important as physical health care preferences, especially if the individual has a history of mental illness.

  6. Not having the document witnessed or notarized correctly. The California Living Will form has specific legal requirements for witnessing or notarization to be considered valid. Overlooking these requirements can make the document legally ineffective.

  7. Limiting the document's accessibility. A living will is only useful if it can be accessed when needed. Storing it in a safe or another secure location where no one else can access it, or not providing copies to the healthcare agent, family members, or physician, can render the document ineffective.

  8. Not attaching a HIPAA release. A Health Insurance Portability and Accountability Act (HIPAA) release form allows healthcare providers to share information with the healthcare agent. Without this, the agent may struggle to get necessary information to make informed decisions.

  9. Assuming it is only for the elderly. It's a common misconception that only older adults need a living will. However, unexpected medical situations can arise at any age, and having a living will ensures that a person's healthcare preferences are respected, regardless of their age.

Avoiding these mistakes can help ensure that a living will clearly communicates a person's wishes and can be effectively implemented when necessary.

Documents used along the form

When someone decides to prepare a California Living Will, it often involves considering other legal documents that complement one's healthcare and estate planning needs. These documents work together to ensure that a person's wishes are respected regarding medical treatment and personal care if they become unable to communicate those wishes themselves. Below is a brief overview of four other forms and documents commonly used alongside a California Living Will.

  • Advance Health Care Directive (AHCD): This document combines a Living Will and a Power of Attorney for Health Care. It allows an individual to specify their medical treatment preferences and appoint someone they trust to make healthcare decisions on their behalf if they are incapable of doing so.
  • Durable Power of Attorney for Finances: This legal document grants someone else the authority to manage financial affairs, such as paying bills and managing investments, if the individual becomes unable to handle these tasks due to illness or incapacity.
  • POLST (Physician Orders for Life-Sustaining Treatment): This is a medical order indicating a patient's preferences for life-sustaining treatments, including resuscitation and mechanical ventilation. It complements a Living Will by providing medical staff with immediate instructions that reflect the patient's end-of-life wishes.
  • Will: A standard Will outlines how the individual's assets and properties should be distributed after their death. While not directly related to medical decisions, it is an essential part of estate planning, running parallel to decisions about end-of-life care.

By understanding and perhaps preparing these additional forms, individuals can ensure a comprehensive approach to their healthcare and personal affairs planning. These documents can provide peace of mind not only to the person making them but also to their families and healthcare providers, knowing that there are clear instructions for different aspects of care and personal wishes.

Similar forms

  • A Durable Power of Attorney for Health Care shares similarities with a Living Will as both documents allow individuals to outline their preferences for medical care. However, the Durable Power of Attorney for Health Care appoints a specific person to make healthcare decisions on behalf of the individual if they are unable to do so themselves.

  • A Last Will and Testament is quite similar in its foundational purpose of planning for the future; whereas the Living Will focuses on healthcare wishes in the event of incapacitation, the Last Will and Testament details the distribution of an individual’s property and assets after their death.

  • The Do Not Resuscitate (DNR) Order shares a critical aspect with a Living Will, as both documents can direct medical professionals not to perform life-saving procedures. The DNR, specifically, indicates that cardiopulmonary resuscitation (CPR) should not be attempted.

  • The Medical Orders for Life-Sustaining Treatment (MOLST) form complements a Living Will by providing detailed instructions about specific types of life-sustaining treatments. This document is physician-ordered and covers preferences about CPR, intubation, mechanical ventilation, and other interventions.

  • A Financial Power of Attorney document, while focusing on financial decisions, parallels a Living Will in its structure of delegating authority to another person. This delegation ensures that someone can manage financial affairs if the individual is unable to do so.

  • The Health Insurance Portability and Accountability Act (HIPAA) Authorization form, like a Living Will, is used to plan for medical scenarios. It specifically allows designated individuals to access the patient’s private health information, facilitating informed medical decisions on their behalf.

  • Organ and Tissue Donation Registration forms can accompany a Living Will to clarify the individual's wishes regarding organ donation after death. This ensures that doctors are aware of the person's consent (or lack thereof) for organ donation, aligning with their end-of-life preferences.

  • A Five Wishes Document expands upon the concept of a Living Will by addressing personal, emotional, and spiritual needs in addition to medical and legal preferences at the end of life, offering a comprehensive approach to life care planning.

  • The Advance Directive is closely related to a Living Will as it combines both the healthcare power of attorney and a living will into one document. This document broadly outlines the individual's healthcare preferences and appoints an agent to make decisions if they are incapacitated.

  • Emergency Medical Information Form is another document that shares the intention of communicating critical medical preferences. Typically carried by the individual, this form provides essential health information and directives to emergency responders in urgent situations.

Dos and Don'ts

Filling out a California Living Will is an important step in ensuring your healthcare preferences are respected and followed in the event you're unable to communicate them yourself. To help guide you through the process, here are some do's and don'ts to keep in mind.

  • Do take your time to understand each section before filling it out. It’s crucial to ensure that your wishes are accurately reflected.
  • Do consult with a healthcare professional if you have questions regarding medical treatments or conditions mentioned in the form. They can provide valuable insights and explanations.
  • Do discuss your decisions with close family members or friends. Although not easy, these conversations can be important to ensure your loved ones understand your preferences.
  • Do consider consulting a legal advisor, especially if you have complex wishes or concerns. They can help ensure your Living Will complies with California law.
  • Do sign and date the form in the presence of the required number of witnesses or a notary public, as stipulated by California law. This step is essential to make your Living Will legally valid.
  • Don't leave any sections incomplete. If a section doesn't apply to you, mark it as ‘N/A’ (not applicable) instead of leaving it blank.
  • Don't use vague language. Be as clear and specific as possible to prevent any ambiguity regarding your wishes.
  • Don't forget to update your Living Will if your preferences change. Life changes, such as marriage, divorce, or a new diagnosis, might affect your decisions.
  • Don't fail to distribute copies of the completed form. Your healthcare provider, a trusted family member, and your attorney (if you have one) should all have the latest version.
  • Don't hesitate to revoke or change your Living Will if you wish to do so. You have the right to change your mind at any time. Just make sure to follow the legal requirements for making those changes valid.

Misconceptions

When it comes to planning for future health care decisions, a California Living Will form is an important document. Yet, many people have misconceptions about what a Living Will is and how it functions. Below, we clarify some of these misunderstandings to help ensure that everyone can make informed decisions about their health care planning.

  • A Living Will is the same as a Last Will and Testament. This is a common misconception. A Last Will and Testament pertains to the distribution of a person's property after their death, whereas a Living Will specifically deals with the types of medical care the individual wishes to receive or not receive if they become unable to express those preferences themselves.

  • Living Wills are only for the elderly. While it's understandable to associate end-of-life planning with older age, the reality is that a Living Will is a valuable document for adults of any age. Unforeseen circumstances, such as accidents or sudden illnesses, can happen at any time, making it important for anyone over the age of 18 to consider creating a Living Will.

  • Once you complete a Living Will, it cannot be changed. In fact, a Living Will can be revised at any time. Life circumstances change, such as new health diagnoses or changes in personal relationships, and your Living Will can and should be updated to reflect your current wishes.

  • If I have a Living Will, doctors will stop giving all treatments. This belief is not accurate. A Living Will allows you to specify which types of treatments you do or do not want in particular situations, such as if you are in a permanent vegetative state or terminally ill. It does not mean that all treatments will be stopped. For instance, you can choose to receive comfort care, which focuses on alleviating pain and ensuring comfort, even if you decline other forms of life-sustaining treatment.

  • A lawyer is needed to create a Living Will. While legal advice can be beneficial, especially in complex situations, it is not a requirement for creating a Living Will. California provides statutory forms that can be filled out without the need for a lawyer. What's crucial is that the form meets state-specific requirements, such as being signed by the appropriate number of witnesses or being notarized, depending on the state's laws.

Understanding these aspects of a Living Will can help individuals make more informed decisions about their health care preferences and ensure that their wishes are honored, regardless of what the future holds.

Key takeaways

In California, a Living Will is an important document that allows individuals to outline their wishes regarding medical treatment in the event that they become unable to communicate those decisions themselves. Understanding the ins and outs of filling out and using this form is key to making sure your healthcare preferences are known and respected. Here are several key takeaways to remember:

  1. First and foremost, it’s essential to be clear and precise in your instructions. This document will speak for you when you're not able to articulate your wishes, so clarity is crucial.

  2. Ensure that all sections of the form are completed to avoid any ambiguity. Incomplete forms may lead to confusion or misinterpretation of your wishes.

  3. A Living Will must be signed in the presence of two witnesses or a notary public in California. The witnesses must be adults, and at least one of them should not be a relative by blood, marriage, or adoption and not entitled to any portion of the person’s estate.

  4. Discuss your wishes with the people close to you, including family members and healthcare providers. This step ensures that those involved in your care understand your preferences and are prepared to advocate for them.

  5. Keep the original document in a safe but accessible place. It’s also wise to give copies to a trusted family member, your healthcare provider, and anyone named in your living will as an agent or decision-maker.

  6. Review and update your Living Will regularly. Life changes, such as marriage, divorce, a new diagnosis, or a change in treatment preference, may necessitate adjustments to your document.

  7. Understand that you can revoke or change your Living Will at any time, provided you are competent. This adjustment can be done by creating a new document or physically destroying the original.

  8. Finally, remember that a Living Will is legally binding in California. It’s a powerful document that ensures your health care wishes are followed, even when you cannot communicate them yourself.

By keeping these points in mind, you can ensure your California Living Will accurately reflects your wishes and provides guidance to your loved ones and healthcare providers during difficult times.

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