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Home Personal & Family Power of Attorney Medical California

California Medical Power of Attorney Form

Updated August 22, 2023 | Legally reviewed by Susan Chai, Esq.

A California medical power of attorney form 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.

Laws

 

  • Statute: California Probate Code Section 4680-4691.
  • Signing Requirements: You are required to have two witnesses who also need to sign the form in front of a notary. If you are a patient in a skilled nursing facility, you also need the signature of a patient advocate or ombudsman (Section 4674 and Section 4675 of the California Probate Code).
  • Revocation: Your California medical power of attorney will remain in effect unless you revoke it. You must have capacity so you can revoke all or part of a health care directive, except for the designated agent, at any time and in any manner of communication (Sections 4695 to 4698 of the California Probate Code).

Sample

Below you can download a California medical power of attorney form in PDF & Word.

california medical power of attorney template

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California Medical Power of Attorney Form

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