California Advance Health Care Directive Template

California Advance Health Care Directive Template

A California Advance Health Care Directive template with completion notes and the blank form. California adults who want to name a health care agent and put medical treatment wishes in writing on the state's own form.

What's included

• Advance Health Care Directive (14 pages): the statutory form in Probate Code §4701. Part 1 names a health care agent and alternates (power of attorney for health care); Part 2 records instructions for health care, including end-of-life choices and pain relief; later parts cover organ donation and a primary physician.

Each document starts on its own page with plain-English completion notes, followed by the blank form. Where California law supplies a form, the statutory wording is reproduced verbatim.

Signing requirements (California)

• Advance Health Care Directive: sign and date, then have it signed by two qualified adult witnesses OR acknowledged before a notary (Probate Code §4673). Witness limits apply, and at least one witness must be unrelated and not entitled to any part of the estate (§4674). A skilled nursing facility patient also needs a patient advocate or ombudsman to sign as a witness (§4675).

File formats

Editable Word (.docx) and print-ready PDF (US Letter) for every document, delivered as a ZIP digital download. Nothing is shipped.

Legal research last verified September 29, 2026.

This is a fill-in template, not legal advice. Laws change; check your state's current requirements before signing.

Licensed to the original purchaser for personal use only; not for resale or redistribution.

Some content in this template was drafted with the help of AI tools and reviewed before listing.