California Advance Healthcare Directive Forms
Stanford
Advance health care directive and POLST forms:
Advance Directive for Dementia --an advance health care directive addressing the specific and unique needs of people with dementia
Five Wishes --an easy-to-use legal advance health care directive document available in a variety of languages.
My Directives --offers both online and mobile app options for completing advance directives
National Physician Orders for Life Sustaining Treatment (POLST ) Paradigm --provides materials for planning and completing a POLST with your physician.
Prepare for Your Care- Offers advance health care planning resources and downloadable advance directives from multiple states
Advance Healthcare Directive Registry
The Secretary of State maintains the Advance Health Care Directive Registry as required by Probate Code section 4800 which allows a person who has executed an advance health care directive to register information regarding the directive with the Secretary of State. This information is made available upon request to the registrant's health care provider, public guardian, or legal representative. A request for information must state the need for the information.
An advance health care directive can be made a part of the Secretary of State's registry by attaching a copy of the advance health care directive to the Registration of Written Advance Health Care Directive (PDF) filed with the Secretary of State. As an alternative to providing a copy of the written directive to the Secretary of State, its location can be indicated on the registration form.
An advance health care directive lets your physician, family, and friends know your health care preferences, including the types of special treatment you want or don't want at the end of life, your desire for diagnostic testing, surgical procedures, cardiopulmonary resuscitation and organ donation.
To obtain or create an advance health care directive form:
Contact your health care provider.
Consult with private legal counsel.
Refer to the Office of the Attorney General's website.
Refer to Probate Code section 4701.
California Durable (Statutory) Power of Attorney Forms
Resources
Note: This listing is intended as a starting point and provided for informational purposes only. There are many other resources available that you may wish to research. Listing here is not an endorsement of the organization or its web page content. If you have questions, please consult with your physician, lawyer, accountant or other appropriate person.
Advance Health Care Planning - National Hospice and Palliative Care Organization
The Agent’s Role In End-of-Life Care – Robert Wood Johnson Report, pdf
American Association of Retired Persons (AARP) is a membership organization addressing health care, consumer protection and other issues for older Americans.
California Coalition for Compassionate Care is a statewide collaborative of more than 50 organizations representing healthcare providers, consumers and state agencies committed to improving end-of-life care for Californians.