California power of attorney for health care - Bet Tzedek - bettzedek 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in your name at the top of the form. This identifies you as the principal.
  3. In Part 1, name your primary agent who will make health care decisions on your behalf. Provide their address and contact information.
  4. If desired, list up to two alternate agents in case your primary agent is unavailable. Ensure their details are complete.
  5. Review the section on Agent’s Authority carefully. You can cross out any authority you do not wish to grant.
  6. Instruct your agent regarding life-sustaining treatment preferences. Initial next to your chosen instructions.
  7. Sign and date the form at the end, ensuring that two witnesses or a notary public also sign it as required.

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