Homepage Fillable Living Will Form Attorney-Approved Living Will Document for the State of California
Table of Contents

The California Living Will form is an essential legal document that allows individuals to outline their preferences for medical treatment in the event they become unable to communicate their wishes. This form specifically addresses end-of-life decisions, enabling individuals to express their desires regarding life-sustaining treatments, resuscitation efforts, and other critical healthcare choices. By completing a Living Will, individuals can ensure that their healthcare providers and family members are aware of their wishes, thus reducing the burden of decision-making during emotionally challenging times. The form typically requires the individual’s signature and may need to be witnessed or notarized, depending on specific requirements. It is important to understand that a Living Will only takes effect when a person is incapacitated and unable to make decisions for themselves, making it a vital component of personal healthcare planning. Additionally, this document can be updated or revoked at any time, allowing individuals to adjust their preferences as circumstances change.

Dos and Don'ts

When filling out a California Living Will form, it’s essential to approach the process with care. Here’s a helpful list of things you should and shouldn’t do:

  • Do clearly state your medical preferences regarding end-of-life care.
  • Do discuss your wishes with your family and healthcare providers.
  • Do ensure that you are of sound mind when completing the document.
  • Do sign the form in front of a witness or notary, as required.
  • Don't use vague language that could lead to confusion about your wishes.
  • Don't forget to keep copies of your Living Will in accessible locations.
  • Don't neglect to review and update your Living Will as your circumstances change.

California Living Will Sample

California Living Will Template

This Living Will is a legal document created in accordance with California law, specifically under the California Probate Code Section 4670. It outlines your healthcare preferences in the event that you become unable to communicate your wishes.

Living Will Declaration

I, [Your Full Name], residing at [Your Address], hereby declare this document to be my Living Will. This will reflect my wishes regarding medical treatment in the event I am unable to express my desires.

1. Statement of Wishes

If I am diagnosed with a terminal condition or am in a state of permanent unconsciousness, I request the following regarding my medical care:

  • I do not wish to receive life-sustaining treatment that only prolongs the dying process.
  • I wish to receive comfort care to relieve pain and discomfort.
  • If I have a chance of recovery, I want full measures taken to sustain my life.

2. Additional Instructions

In addition to the above, I express what I want and do not want concerning medical procedures, including:

  • Resuscitation efforts (CPR): [Agree/Disagree]
  • Mechanical ventilation: [Agree/Disagree]
  • Artificial nutrition and hydration: [Agree/Disagree]

3. Designation of Healthcare Proxy

I designate the following individual as my healthcare agent to make medical decisions on my behalf if I am unable to do so:

Name: [Proxy's Full Name]
Address: [Proxy's Address]
Phone: [Proxy's Phone Number]

4. Witnesses

This Living Will must be signed in the presence of two witnesses who are not related to me by blood, marriage, or adoption, and who are not entitled to any part of my estate.

Witness #1: ____________________________
Witness #2: ____________________________

5. Signature

By signing below, I affirm that I am at least 18 years old and am of sound mind. This Living Will reflects my wishes and I am signing it voluntarily.

Signed: ________________________________
Date: __________________________________

Listed Questions and Answers

  1. What is a Living Will in California?

    A Living Will, also known as an Advance Health Care Directive, is a legal document that allows individuals to outline their preferences regarding medical treatment in the event they become unable to communicate their wishes. This document is particularly important for situations involving terminal illness, severe injury, or any condition that impairs decision-making capacity.

  2. Who should create a Living Will?

    Anyone aged 18 or older should consider creating a Living Will. This document is essential for individuals who want to ensure their medical treatment preferences are honored. It is especially relevant for those with chronic illnesses, a family history of serious health conditions, or anyone who wishes to alleviate the burden on family members during difficult medical decisions.

  3. What should be included in a Living Will?

    A Living Will should clearly state your preferences regarding various medical treatments. This includes decisions about life-sustaining treatments, such as resuscitation, mechanical ventilation, and feeding tubes. Additionally, it may address your wishes regarding pain management and organ donation. Be specific about your desires to ensure your healthcare providers and loved ones understand your intentions.

  4. How do I create a Living Will in California?

    Creating a Living Will in California involves several steps. First, you can obtain a standardized form from a legal resource or healthcare provider. Next, fill out the form by clearly stating your medical preferences. After completing the document, it must be signed in the presence of two witnesses or a notary public to ensure its validity. Once signed, provide copies to your healthcare providers and loved ones to ensure they are aware of your wishes.

  5. Can I change or revoke my Living Will?

    Yes, you can change or revoke your Living Will at any time, as long as you are mentally competent. To make changes, simply create a new document that clearly states your updated preferences, and ensure it is signed and witnessed or notarized. If you wish to revoke your Living Will, you can do so by destroying the document or by stating your intent to revoke it in writing. Inform your healthcare providers and family members of any changes to avoid confusion in the future.

PDF Characteristics

Fact Name Description
Definition A California Living Will is a legal document that allows individuals to express their wishes regarding medical treatment in case they become unable to communicate their preferences.
Governing Law The California Living Will is governed by the California Probate Code, specifically Sections 4600-4800.
Purpose This document is primarily used to guide healthcare providers and family members about the individual's wishes concerning life-sustaining treatments.
Who Can Create One? Any competent adult aged 18 or older can create a Living Will in California.
Signature Requirements The Living Will must be signed by the individual and can be witnessed by two people or notarized to be legally valid.
Revocation A Living Will can be revoked at any time by the individual, either verbally or in writing, as long as they are still competent.
Durable Power of Attorney A Living Will is often used in conjunction with a Durable Power of Attorney for Health Care, which designates someone to make healthcare decisions on behalf of the individual.
Not a Do-Not-Resuscitate Order It is important to note that a Living Will is not the same as a Do-Not-Resuscitate (DNR) order, which specifically addresses resuscitation efforts.
Accessibility California provides a standard Living Will form that is accessible online and can be customized to fit individual needs.