Valid Living Will Template for California

A California Living Will form is a legal document that allows individuals to outline their preferences for medical treatment in the event they become unable to communicate their wishes. This form plays a crucial role in ensuring that healthcare providers and loved ones understand and respect a person's end-of-life decisions. By completing a Living Will, individuals can gain peace of mind knowing their values and choices will guide their care.

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The California Living Will form is a crucial document that allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate those preferences themselves. This form provides clarity on end-of-life decisions, ensuring that healthcare providers and family members understand the individual's desires concerning life-sustaining measures. It covers critical aspects such as the types of medical interventions one may or may not want, including resuscitation efforts, artificial nutrition, and hydration. By completing this form, individuals can designate a healthcare proxy to make decisions on their behalf, ensuring that their values and preferences are honored even when they cannot advocate for themselves. Understanding the implications of this form is essential for anyone looking to take control of their medical care and ensure their wishes are respected in challenging situations.

California Living Will Sample

California Living Will Template

This Living Will is created in accordance with California state laws regarding advance health care directives. This document allows you to outline your wishes regarding medical treatment in case you become unable to communicate them yourself.

Personal Information:

Name: ______________________________________
Date of Birth: ________________________________
Address: _____________________________________
City, State, Zip: ______________________________
Phone Number: ________________________________

Declaration:

I, the undersigned, being of sound mind, willfully and voluntarily make this declaration to ensure my wishes are honored regarding my medical care in the event that I become terminally ill or permanently unconscious.

Medical Treatment Preferences:

If I am near the end of my life, I do not want my life prolonged by:
- Artificial respiration
- Dialysis
- Cardiopulmonary resuscitation (CPR)
- Artificial nutrition and hydration
If I am permanently unconscious, I do not want my life prolonged by:
- Any measures that may keep my heart beating or lungs functioning
- Feeding tubes or intravenous fluids

Additional Instructions:

______________________________________________

Agent Designation:

I designate the following person to make health care decisions on my behalf if I am unable to do so:

Name: ______________________________________
Relationship: _________________________________
Phone Number: ________________________________

Signature:

By signing below, I affirm that I understand the contents of this Living Will and that it reflects my wishes:

Signature: _________________________________

Date: ____________________________________

Witnesses:

Two witnesses are required by California law.

Witness 1: Name: _____________________________
Signature: _________________________________
Date: ____________________________________

Witness 2: Name: _____________________________
Signature: _________________________________
Date: ____________________________________

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Key takeaways

Filling out and using the California Living Will form can be an important step in ensuring that personal healthcare preferences are respected. Here are some key takeaways to consider:

The California Living Will form is officially known as an Advance Health Care Directive.
This document allows individuals to specify their wishes regarding medical treatment in case they become unable to communicate those wishes themselves.
It is essential to discuss your healthcare preferences with family members and healthcare providers before completing the form.
The form must be signed and dated to be legally valid. Witnesses or a notary public may be required for the signature.
Individuals can appoint a healthcare agent to make decisions on their behalf if they are unable to do so.
It is advisable to keep a copy of the completed form in an accessible location and provide copies to your healthcare agent and medical providers.
The document can be updated or revoked at any time, as long as the individual is mentally competent.
Healthcare providers are legally obligated to follow the instructions outlined in the Living Will, as long as they are aware of its existence.
It is recommended to review the Living Will periodically to ensure it still reflects your current wishes and preferences.