It aligns with California’s statutory advance health care directive – the form in Cal. �8F���Ei �n*�� ��j�l�~�7��~r�>�X"�s$F�ÀG��l��X����#ȵ!��y��B�L"m�o��%1���6rꯅ��SGq}; ��W���1�7�D�b�h��'� ���Z endstream endobj 330 0 obj 697 endobj 331 0 obj << /Filter /FlateDecode /Length 330 0 R >> stream Durable Power Of Attorney Form California Health Care. 1. Code §4701. Signing Requirements – The POA must be signed before a notary public or two (2) witnesses (§ 4701(e)). 0000004589 00000 n My agent’s authority to make health care decisions for me takes effect immediately. This book has forms only and includes: California Statutory Will, Advance Health Care Directive, California Statutory Form Power of Attorney, Authorization to Consent to Medical Treatment of a Minor, Power of Attorney for Care of Child, Caregiver's Authorization Affidavit. To make things a little confusing, states use various terms to describe their advance directive forms. Get free online POA form for the residents living in Los Angeles, San Diego, San Jose, San Francisco, Fresno, Sacramento, Long Beach, Oakland, Bakersfield or any other city of CA. a���opa����&��җ�3��ZG���a�NM:�k��tD$�ʭa8��יKEB���Ԁ��d��[�q��Қ�GYpI������}2�a�a4���8��t6�;b0�m� 1��}�P>�l5��V�JR���vE8��2��$���A�A���B�3��0F�ޥ��Vx7�R�_C�������D�b���:���0٩��H��@:>������T��G�s�,���$W ��{����kyY/�u �����zY�p�7���rp%Id�u����.+_o�l��._�lW䐽���[�xq�G����Y�n ��/i�+x3�X���lU@Y_=��8�M敲Y$*�8�}�y0F�p�3���m�1�Q#���~��r�[^���H�Jv�g�C2�Კ�V�,Ϸ�g��ԋ{w���4�q�툦��@��$d؀/����^}�\�G*k�TLI$�Ov��i�ڂv[)�b#|��s�V�[�5���~��ț���A��ۯ������t�v� �Yf�v�-^{CP�� �l�I endstream endobj 332 0 obj << /Type /FontDescriptor /Ascent 935 /CapHeight 718 /Descent -211 /Flags 32 /FontBBox [ -137 -307 1000 1109 ] /FontName /ArialNarrow-Bold /ItalicAngle 0 /StemV 118 >> endobj 333 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 121 /Widths [ 228 0 0 0 0 0 0 0 273 273 0 0 228 273 0 0 0 0 0 0 0 0 0 0 0 0 273 0 0 0 0 0 0 592 0 592 592 547 501 638 592 228 456 0 501 683 592 638 547 0 592 547 501 592 0 774 0 547 0 0 0 0 0 0 0 456 501 456 501 456 273 501 501 228 0 456 228 729 501 501 501 501 319 456 273 501 456 638 0 456 ] /Encoding /WinAnsiEncoding /BaseFont /ArialNarrow-Bold /FontDescriptor 332 0 R >> endobj 334 0 obj 612 endobj 335 0 obj << /Filter /FlateDecode /Length 334 0 R >> stream Custom California power of attorney form for durable, specific, health care or limited POA. 0000006255 00000 n Form You can also use a California Advance Health Care Directive, which is durable by default. A Durable Power of attorney in California is a short form that allows the agent to make all financial decisions for the principal. 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Consumer.org stated that the power of attorney can cost anywhere from $150 to as high as $290. If you might have special needs, consult an attorney. if you have any questions about these powers, obtain competent legal advice. (Initial here) AGENT’S OBLIGATION: My agent shall make health care decisions for me in accordance with this power of attorney for health care, any instructions I give in Part 2 of this form, and my other wishes to the extent known to my agent. 0000010400 00000 n Earlier forms included Natural Death Act Declaration, Directive to Physicians and Durable Power of Attorney for Health Care. The document is in line with California Probate Code Section 4400-4409 and 4120-4130. The principal must be in a clear mental state before selecting their agent. This may be addressed in a separate document that is solely for health care, like a health care surrogate designation. 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