All information, software and services provided on the site are for informational purposes and self-help only and are not intended to be a substitute for a lawyer or professional legal advice. Legal Templates cannot and does not provide legal advice or legal representation. After editing it, all you have to do is print the document and ge it signed! Your primary treating health care provider. What Are the Types of Power of Attorney Documents? The advance health care directive lets a principal specify what sort of treatment to receive in the event he or she becomes unable to make decisions about his or her own healthcare. A form that complies with the requirements of any law other than the provisions of this part may be used instead of the form set forth in Section 4401, and none of the provisions of this part apply if the other form is used. When incarcerated, you can use two people as witnesses, and if they are out of the prison system, you'll need your incarcerated family member to write a letter agreeing on the two non-related witnesses.
An offer of membership in our legal plan is not an endorsement or advertisement for any individual attorney. Decide if you want a durable power of attorney. Narrow down your search on the basis of the purpose. If your wishes are not known, your agent must make health care decisions that your agent believes to be in your best interest, considering your personal values to the extent they are known. Any price difference between the original order and the replacement order or, if a replacement order is not completed within 60 days of purchase, the full original purchase price in each case less any money paid to government entities or other third parties will be credited to the original form of payment. The only exception applies to individuals who have been involuntarily committed to a mental health facility who wish to appoint their conservator as their agent.
For example, you can authorize your agent to represent you only in a single real estate transaction, or to represent you for a short period of time while you are out of the country. The other parts of this form include a living will, provisions for organ donation, and a designation of your primary physician. This is the most flexible and permissive form of a power of attorney. Consider someone's age, health, and location prior to making a decision. It is also recommended, although not always possible, that such a discussion include both your physician s , and your health care agent and alternate agent s. Sandvick worked as a civil litigator in California for over 7 years.
The document does not need to be witnessed or notarized to be legally enforceable. What Is a Power of Attorney? Use our to save your loved ones from uncertainty, legal hassle, and potential conflict. This means your document is of no use if you become temporarily incapacitated due to an unexpected illness or injury but are expected to recover. The purpose will determine the kind of template and the kind of terms and conditions. I want my life to be prolonged as long as possible within limits of generally accepted health care standards. What should I do with the Advance Health Care Directive form after I fill it out? When you become incapacitated, your agent must make decisions that are consistent with any instructions you have written in the Advance Health Care Directive form or made known in other ways such as by telling family members, friends or your doctor.
Your alternate agent will assume decision making responsibility in the event your first choice is unwilling, unable, or unavailable to act as your agent. A durable power of attorney allows you to act on behalf of another person for all day-to-day financial decision making. If you use witnesses rather than a notary public, the law prohibits using the following as witnesses: 1 the persons you have appointed as your agent or alternate agent s ; 2 your health care provider or an employee of your health care provider; or 3 an operator or employee of an operator of a community care facility or residential care facility for the elderly. For more information on Advance Health Care Directives, see www. Decide if you want a power of attorney for health care.
Tell your loved ones that you have completed an Advance Health Care Directive and what you have said in it, especially if you have selected a health care agent. I further declare under penalty of perjury under these laws of California that I am a patient advocate or ombudsman as designated by the State Department of Aging and am serving as a witness as required by Probate Code 4675. In addition, you should fill out the contact list provided in this kit. An Advance Health Care Directive permits you not only to appoint an agent, but to give instructions about your health care. Please note, however, that unless you have made other arrangements, your agent may be responsible for costs related to the disposition of your body after you die. A general power of attorney grants all of the rights and responsibilities of a durable power of attorney, except it is rendered void if the principal becomes incapacitated.
In such cases, it is always better to refer to power of attorney template examples. Always bring a copy of the document with you if you are admitted to the hospital, even for an outpatient procedure. California makes it easy to access and create a power of attorney document. These forms may be found at various websites, and may also be available in publications at your local library. In California, you can elect to give your health care agent the power to consent to any treatment or service to diagnose or maintain any mental or physical condition. Print your full name and date of birth Fill in below the name and contact information of the person s your agent and alternate agent s you wish to make health care decisions for you if you are unable to make them for yourself.