Fill and Sign the California Living Wills and Health Care Package Form

© 2016 - U.S. Legal Forms, Inc. CALIFORNIA LIVING WILLS PACKAGE Control Number: CA -P078 -PKG U.S. Legal Forms™ thanks you for your purchase of a Living Wills Package. This pack age is a useful and necessary tool for making decisions about life support and other medical issues and ensuring that your wishes are implemented. The Living Will package allows you to make the decision of whether life -prolonging medical or surgical proced ures are to be continued, withheld, or withdrawn, as well as when artificial feeding and fluids are to be used or withheld. It allows you to express your wishes prior to being incapacitated TABLE OF CONTENTS I. Form List with descriptions II. Description s of Forms III. Tips on Completing the Forms IV. Disclaimer I. FORM LIST With your Living Will package, you will find the forms that will help you ensure your decisions regarding medical treatment and life support are carried out. Included in your pa ckage are the following forms: 1. Statutory Form of Advance Health Care Directive from California Probate Code Section 4701 as Living Will 2. Statutory Power of Attorney for Health Care 3. Statutory Durable Power of Attorney for Health Care 4. Revocation Health Care Directive 5. Uniform Anatomical Gift Act Donation 6. Revocation of Anatomical Gift Donation II. DESCRIPTIONS OF FORMS Brief descriptions of the forms contained in your U.S. Legal Forms™ Living Will package are found below. Stat utory Form of Advance Health Care Directive from California Probate Code Section 4701 as Living Will - This form is an advance health care directive. It is in statutory format as found in the California Probate Code Section 4701. Part one contains a power of attorney for health care; part two contains instructions for health care; and part three concerns the donation of organs at death (which is optional). Part 4 of this form lets you designate a physician to have primary responsibility for your health car e. Statutory Power of Attorney for Health Care - This Statutory Power of Attorney for Health Care gives the person you designate as your agent/attorney in fact the power to make health care decisions for you. Your agent must act consistently with your de sires as stated in this Power of Attorney. This document gives your agent the power to consent to your doctor not giving treatment or stopping treatment necessary to keep you alive. You have the right to make health care decisions for yourself as long as y ou can give informed consent. No treatment may be given over your objection and health care necessary to keep you alive may not be stopped or withheld if you object. Statutory Durable Power of Attorney for Health Care - This form is a durable power of att orney for health care pursuant to California Probate Code Section 4701. The principal must list his/her desires, special provisions, and limitations. The principal may also use this form if he/she wants to limit the term of the durable power of attorney. Revocation Health Care Directive – This is a revocation of the authority granted in Form CA - P021, a Health Care Directive. A Health Care Directive is used to name an individual as an agent to make health care decisions for you if you become incapable of ma king your own decisions or if you want someone else to make those decisions for you even though you are still capable; to give specific instructions about any aspect of your health care, whether or not you appoint an agent; to express an intention to donat e your bodily organs and tissues following your death; and/or to designate a physician to have primary responsibility for your health care. A patient having capacity may revoke the designation of an agent only by a signed writing or by personally informing the supervising health care provider. A patient having capacity may revoke all or part of an advance health care directive, other than the designation of an agent, at any time and in any manner that communicates the intent to revoke. Uniform Anatomical G ift Act Donation – This Uniform Anatomical Gift Act Donation form pursuant to state statutes designates the specific body parts and organs an individual wishes to donate at the time of death. An individual who is at least 18 years of age may make an anatom ical gift by a signed document of gift. This form must be witnessed and the signature notarized. Revocation of Anatomical Gift Donation - This Revocation of Anatomical Gift Donation form is a revocation of Form CA -P025 that designates the body parts and o rgans an individual wishes to donate at the time of death. A donor may amend or revoke an anatomical gift, not made by will, only by a signed statement, an oral statement made in the presence of two individuals, by any form of communication during a termin al illness or injury addressed to a physician or surgeon or by delivering a signed statement to a specified donee to whom a document of gift has been delivered. A donor may revoke an anatomical gift made by will in any manner provided for amendment or revo cation of wills. Specific reference is made to the earlier executed Anatomical Gift Donation. If you need additional information, please visit www.uslegalforms.com and look up forms by subject matter. You may also wish to visit our legal definitions page at http://definitions.uslegal.com/ III. TIPS ON COMPLETING THE FORMS The form(s) in this packet may contain “form fields” created using Microsoft Word or Adobe Acrobat (“.pdf” format). “Form fields” facilitate completion of the forms using your computer. They do not limit your ability to print the form “in blank” and complete with a typewriter or by hand. It i s also helpful to be able to see the location of the form fields. Go to the View menu, click on Toolbars, and then select Forms. This will open the Forms toolbar. Look for the button on the Forms toolbar that resembles a shaded letter “a”. Click this b utton and the form fields will be visible. By clicking on the appropriate form field, you will be able to enter the needed information. In some instances, the form field and the line will disappear after information is entered. In other cases, it will not. The form was created to function in this manner. IV. DISCLAIMER These materials were developed by U.S. Legal Forms, Inc. based upon statutes and forms for the subject state. All information and Forms are subject to this Disclaimer: All forms i n this package are provided without any warranty, express or implied, as to their legal effect and completeness. Please use at your own risk. If you have a serious legal problem, we suggest that you consult an attorney in your state. U.S. Legal Forms, Inc. does not provide legal advice. The products offered by U.S. Legal Forms (USLF) are not a substitute for the advice of an attorney. THESE MATERIALS ARE PROVIDED “AS IS” WITHOUT ANY EXPRESS OR IMPLIED WARRANTY OF ANY KIND INCLUDING WARRANTIES OF MERCHA NTABILITY, NONINFRINGEMENT OF INTELLECTUAL PROPERTY, OR FITNESS FOR ANY PARTICULAR PURPOSE. IN NO EVENT SHALL U.S. LEGAL FORMS, INC. OR ITS AGENTS OR OFFICERS BE LIABLE FOR ANY DAMAGES WHATSOEVER (INCLUDING WITHOUT LIMITATION DAMAGES FOR LOSS OR PROFITS, BUSINESS INTERRUPTION, LOSS OF INFORMATION) ARISING OUT OF THE USE OF OR INABILITY TO USE THE MATERIALS, EVEN IF U.S. LEGAL FORMS, INC. HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.