Document.com
State of California

Free California Medical Power of Attorney Forms

Create a California-compliant advance health care directive to appoint a trusted healthcare agent. Includes HIPAA authorization, end-of-life preferences, and all provisions required under Cal. Prob. Code § 4700.

4.8 rating
|
45,621 CA documents created
|
Takes 5-10 minutes

Free to create and preview. Download as PDF or Word.

California Advance Health Care Directive
PDFWord
California-compliant
Page 1 of 5
SG

Written by

Stefan Gol
AH

Fact-checked by

Anderson Hill
JD

Legally reviewed by

John Doe

Last updated March 31, 2026

California Advance Health Care Directive Overview

In California, a advance health care directive is governed by Cal. Prob. Code § 4700. This legal document allows you to designate a healthcare agent who can make medical decisions on your behalf if you become unable to make or communicate those decisions yourself. California law ensures that your healthcare agent has the authority to work with healthcare providers to carry out your wishes regarding medical treatment.

Your healthcare agent can make decisions about medical treatments, surgeries, medications, hospital stays, end-of-life care, and access to your medical records. The advance health care directive typically takes effect only when a physician determines that you are unable to make decisions for yourself, though California law may allow you to make it effective immediately if you prefer.

Creating a advance health care directive in California requires 2 witnesses and notarization is required. California provides a statutory form that is widely accepted by healthcare facilities throughout the state.

Yes

Statutory form required

2

Witnesses required

Required

Notarization

Yes

HIPAA included

California Requirements

To create a valid advance health care directive in California, you must meet the following requirements under Cal. Prob. Code § 4700:

Important: California Execution Requirements

California requires 2 witnesses for a valid advance health care directive. The document must also be notarized. Witnesses cannot include your designated healthcare agent or your treating healthcare provider.

  • Legal Age: You must be at least 18 years old and mentally competent at the time of signing
  • Witnesses: California requires 2 witnesses who are not the healthcare agent or healthcare provider
  • Notarization: Required in California
  • Agent Designation: Name a primary healthcare agent and optionally an alternate
  • HIPAA Authorization: Included in statutory form

How to Create Your California Advance Health Care Directive

Follow these steps to create a valid advance health care directive that complies with California law.

1

Choose Your Healthcare Agent

Select a trusted individual to serve as your healthcare agent in California. This person should understand your healthcare values, be willing to advocate on your behalf, and be available in case of emergency. Consider naming an alternate healthcare agent as well.

2

Specify Your Healthcare Wishes

Document your preferences regarding medical treatments, end-of-life care, organ donation, DNR orders, and mental health treatment. Be as specific as possible about what treatments you do and do not want under various circumstances.

3

Include HIPAA Authorization

Add HIPAA authorization to ensure your healthcare agent can access your medical records and communicate with your healthcare providers in California. Without this, providers may legally refuse to share your medical information.

4

Sign with Witnesses and Notarize

Execute the document with 2 witnesses as required by California law. You must also have the document notarized. Distribute copies to your healthcare agent, physicians, hospital, and family members.

Choosing Your California Healthcare Agent

In California, your healthcare agent will have significant authority over your medical care. Choose someone who understands your values and can make difficult decisions under pressure.

  • Trustworthy: Someone who will follow your wishes, not impose their own preferences
  • Accessible: Someone who can be reached quickly and can travel to California if needed
  • Assertive: Someone who can communicate effectively with medical professionals
  • Emotionally capable: Someone who can handle the stress of making life-or-death decisions

Sample California Advance Health Care Directive

Below is a preview of our California-specific advance health care directive template.

STATE OF CALIFORNIA

ADVANCE HEALTH CARE DIRECTIVE

Cal. Prob. Code § 4700

PRINCIPAL (You):

Name: [Your Name]
Address: [California Address]

HEALTHCARE AGENT:

Name: [Agent Name]
Relationship: [Relationship]
Phone: [Phone]

California Advance Health Care Directive FAQ

Answers to common questions about California advance health care directive requirements and procedures.

Official California Resources

Use these official resources to verify California requirements and access government forms.

Create Your California Advance Health Care Directive

Answer a few questions and download your California-compliant document in minutes.

No account required. Free to create and preview.