Printable Living Will Form for the State of California Get Document

Printable Living Will Form for the State of California

A California Living Will 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 ensures that a person's values and desires regarding end-of-life care are respected and followed. Understanding and completing this important document can provide peace of mind for both individuals and their loved ones.

Take the first step in securing your healthcare preferences by filling out the form below.

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Outline

In California, the Living Will form is an essential document that allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate those wishes themselves. This form empowers you to make decisions about your healthcare, particularly concerning life-sustaining treatments. It covers a variety of scenarios, such as whether you want to receive resuscitation, mechanical ventilation, or feeding tubes if you are terminally ill or in a persistent vegetative state. By completing this form, you can ensure that your preferences are respected and followed by healthcare providers and loved ones during critical moments. Additionally, the Living Will can work in conjunction with other advance directives, like a Durable Power of Attorney for Health Care, to provide a comprehensive plan for your medical care. Understanding this form and its implications can bring peace of mind, knowing that your values and choices will guide your treatment when you cannot speak for yourself.

Key takeaways

Filling out and using the California Living Will form is an important step in planning for your healthcare preferences. Here are key takeaways to consider:

  • The California Living Will allows individuals to express their wishes regarding medical treatment in case they become unable to communicate.
  • It is essential to clearly outline your preferences for life-sustaining treatments, such as resuscitation and artificial nutrition.
  • Make sure to sign the form in the presence of a witness or notary public to ensure its validity.
  • Keep copies of the completed Living Will in accessible locations, and share them with family members and healthcare providers.
  • Review and update your Living Will periodically, especially after significant life changes or health developments.
  • Understand that this document can be revoked at any time, as long as you are mentally competent to do so.

Form Preview Example

California Living Will

This Living Will is made in accordance with California's laws governing advance health care directives.

1. Declarant Information:

Name: _______________________________

Date of Birth: ________________________

Address: _____________________________

2. Designation of Health Care Agent:

I designate the following individual as my health care agent:

Name: _______________________________

Address: _____________________________

Phone Number: ________________________

3. Statement of Treatment Preferences:

If I am unable to communicate my health care preferences, I wish to express the following:

  • I do not want life-sustaining treatment that only prolongs the dying process.
  • I wish to receive comfort care, even if it may hasten my death.
  • Other preferences: __________________________________________.

4. Organ Donation Statement:

I wish to donate my organs in the event of my death. [Yes / No]

5. Signatures:

Declarant Signature: _______________________________

Date: ________________________

Witness Signature: _______________________________

Date: ________________________

This document is intended to make your health care wishes clear. Ensure that your agent understands your preferences.