California power of attorney for health care - Bet Tzedek - bettzedek 2025

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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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(1) A power of attorney must be signed and dated by the principal, and the signature must be either acknowledged before a notary public or other individual authorized by law to take acknowledgments, or attested by two or more competent witnesses who are neither home care providers for the principal nor care providers
Here are the steps to create a legally binding medical power of attorney: Get a medical power of attorney form. Select your healthcare agent. Determine which medical decisions your agent can make on your behalf. Complete the form, and sign and witness it according to the laws in your state.
The main difference between the health care and durable power of attorney is their scope. A health care power of attorney only allows your agent to make medical decisions on your behalf, while a durable power of attorney grants your agent broader powers in financial and personal matters.
What does power of attorney durable mean? A durable POA gives someone else legal authority to act on your behalf, and it continues in force even if you lose your mental capacity. Financial POAs give your agent financial powers that may include managing your assets, paying bills, and buying and selling real estate.
A medical or healthcare power of attorney is a type of advance directive in which you name a person to make healthcare decisions for you when you are unable to do so. In some states this directive also may be called a durable power of attorney for healthcare or a healthcare proxy.
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This form is usually called a medical power of attorney. Ask your hospital, state bar association, or office on aging where to find these forms. You must sign the form to make it legal. Some states require you to get the form docHubd.

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