Advance Healthcare Directive Template
This document combines a health care directive which is your living will along with a medical power of attorney to appoint an agent.
Advance healthcare directive template. An advance directive form is a collection of legal forms which allow you to spell out your end of life decisions and medical care should you become incapable of communicating your healthcare wishes due to a terminal illness or incapacity. Decisions act says that you can do health care planning through advance directives an advance directive can be used to name a health care agent. Advance health care directive forms 4700 4701 chapter 2 added by stats. Step 3 life support.
An advance health care directive is a document that instructs others about the medical care you wish to receive once you are no longer able to make or communicate your decisions. Every state has its own advance directive forms. In some states the living will and health care proxy forms are combined into a single document. For health care any instructions i give in part 2 of this form and my other wishes to the extent known to my agent.
In our example we are using the living will as seen below. Every adult should have an advance directive as to help explain the type of health care you wish to receive in case of emergency or simply planning ahead for future care. Advanced health care directive form. Advance health directive form form 4 an advance health directive is a document that states your wishes or directions regarding your future health care for various medical conditions.
It comes into effect only if you are unable to make your own decisions. In reality everyone 18 years of age residing in california should have a valid california advance healthcare directive. Step 2 health care directive. Medical power of.
Its a common misconception that you only need an advance healthcare directive if you are elderly incapacitated have an illness or engage in a high risk profession. An advance directive can also be used to say what your preferences are about treatments that might be used to sustain your life. This is someone you trust to make health care decisions for you. The statutory advance health care directive form is as follows.
California advance health care directive form poa living will allows an individual to choose an agent to make healthcare decisions on his or her behalf in the event they can no longer make themwhen a person is considered incapacitated they no longer are able to make decisions for themselves. It also allows you to appoint an individual who will be in charge of communicating with your doctors and other health care providers on your behalf making sure that your health care choices are followed and respected. Advance directive forms are made up of the following two legal documents. States have specific forms these documents so health care professionals can easily recognize the documents purpose.