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California Advance Health Care Directive - The Center For ...

1 California AdvanceHealth care DirectiveThis form lets you have a say about how you want to be cared for if you get very can fill out Part 1, Part 2, or both. Fill out only the parts you want. Always sign the form in Part witnesses need to sign on Page 12, or a notary on Page NameThis form has 3 parts. It lets you: Part 1: Choose a medical decision maker, Page 3A medical decision maker is a person who can make Health care decisions for you if you are too sick to make them 2: Make your own Health care choices, Page 6 This form lets you choose the kind of Health care you want.

California Advance Health Care Directive This is a legal form that lets you to have a voice in your healthcare. It will let your family, friends, and medical providers know how you want

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This packet contains a legal document, a California Advance Health Care Directive, that protects your right to refuse medical treatment you do not want, or to request treatment you do want, in the event you lose the ability to make decisions yourself.

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