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Home Personal & Family Documents Power of Attorney Medical California

Free California Medical Power of Attorney

Use our California Medical Power of Attorney form to let someone make medical decisions for you if you become unable to do so.

Updated January 9, 2023

A California (CA) medical power of attorney (MPOA) is a legal document that allows someone else to make medical decisions for you. It will be effective on the date (or event) specified in the document, but the most common situation is that it takes effect when you can no longer make medical decisions.

A medical power of attorney, also known as a power of attorney for health care, is a type of advance directive.

Laws: California Probate Code Section 4680-4691 governs medical powers of attorney in California.

If you’re considering creating an MPOA, consider whether the following legal documents might benefit you.

Living Will: A living will sets out your preferences regarding end-of-life care. In CA, this is the same as a California advance health care directive form.

California (Financial) Power of Attorney: This legal document allows someone else to take care of your financial affairs for you, either right away or if you become incapacitated and can no longer make your own financial decisions.

How to Fill in a Medical Power of Attorney in California

Laws regarding powers of attorney for health care are covered in Sections 4680 to 4691 of the California Probate Code.

Step 1: Choose an agent

An agent is a person you designate to make healthcare decisions on your behalf. In California, you are also allowed to name an alternative agent. This person can make medical decisions for you if your first-named agent is unable or unwilling to act as your medical power of attorney.

Who should you choose as an agent?

Choosing the right person to be an agent takes some time and consideration. You should pick someone you trust and someone who knows you well. This person should make medical decisions based on his desires and opinions, not personal beliefs.

Your agent should be at least 18 years old and mentally and physically capable of making decisions for you.

Relevant law: Section 4684 of the California Probate Code

Who can’t be your agent?

In California, your agent cannot be the following individuals:

  • Your supervising healthcare provider
  • An operator of a community care facility or residential care facility
  • The employee of a health care institution where you are receiving care unless the employee is a relative, spouse, domestic partner, or coworker

Can you have more than one agent?

You cannot name more than one agent to act simultaneously. However, you can name alternative agents that will take over if your first choice is unavailable to serve as your healthcare power of attorney.

Step 2: Specify what healthcare decisions your agent can make

You should specify which decisions you are permitting your agent to make.

Can you limit your agent’s powers?

Yes. Your agent can have as much or as little power over your healthcare decisions as you would like. As part of the California medical power of attorney form, you can specifically state which healthcare decisions you would like your agent NOT to have rather than create a list of what they can do.

What is your agent legally unable to do?

Your agent can only make healthcare decisions for you. They cannot make other decisions, such as about finances, unless they have another document, like a financial power of attorney, that deals with those decisions.

Your agent is also limited by the list of items that you specifically state that they cannot decide for you.

In addition, your agent also cannot make decisions regarding the following:

  • Sterilization
  • Abortion
  • Psychosurgery
  • Placement in a mental health treatment facility
  • Convulsive treatment (such as electroconvulsive therapy or ECT)

When can your agent start making decisions for you?

Your agent can start making decisions for you immediately if that is what you want (and you must say so on your designation). Otherwise, your agent can make decisions for you as soon as a doctor or another medical professional determines that you are incompetent to make your own decisions.

Step 3: Sign the form

You must sign the medical power of attorney form to make it legally effective. You must sign it in front of witnesses, as noted below.

Do you need a notary or witness signatures?

Yes, you are required to have two witnesses see you sign the form and sign as well. All parties must sign in front of a notary as well.

If you are a patient in a skilled nursing facility, you also need the signature of a patient advocate or ombudsman.

Relevant law: Section 4674 and Section 4675 of the California Probate Code

Who can’t be a witness?

Your witnesses cannot be any of the following:

  • Any agent that you designate in your medical power of attorney or advance directive (including alternates)
  • Your healthcare provider
  • An operator of a community healthcare facility or residential care facility where you are receiving care
  • An employee of a community or residential care facility where you receive care
  • A relative (blood, marriage, or adoption)
  • Anyone that would be entitled to any part of your estate upon your death

How long is your California medical power of attorney effective?

Your medical power of attorney will remain in effect unless you revoke it.

How to Revoke a California Power of Attorney

You can revoke your California MPOA at any time. You can revoke the designation of an agent using a signed writing (that is, a revocation of power of attorney), or you can cancel it by personally informing your healthcare provider. To revoke, you must have mental capacity.

You can also revoke all or part of a health care directive, except for the designated agent, at any time and in any manner of communication.

Relevant law: Sections 4695 to 4698 of the California Probate Code

California medical power of attorney form

Free California Medical Power of Attorney Form

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Free California Medical Power of Attorney

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