California Living Will

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CONDITIONS UNDER WHICH YOU MAY EXECUTE A LIVING WILL

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If you should have an incurable or irreversible condition that will cause your death within a relatively short time, you may declare that your life not be prolonged by administration of life-sustaining procedures. 

If your condition is terminal and you are unable to participate in decisions regarding your medical treatment, you may direct the withholding of procedures that merely prolong the dying process and are not necessary to your comfort.
 

ADDITIONAL INFORMATION ABOUT THIS LIVING WILL
   
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Directive May Be Written or Oral

Section 4670 of the California Probate Code provides that an individual may give a health care instruction orally or in writing.  It is not necessary to have a written directive if you make your desires orally known to your physician.  Since doctors have many patients, however, it would be impractical to expect them to remember all the health care desires of their many patients.  This directive allows you to commit your desires to writing so that it can become a part of your medical records.
 

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Election of Treatment(s)

After you have completed this directive and printed it out, you will be allowed to check off treatments you want and don't want. You will be given the option of receiving artificial nutrition and hydration and other treatment. 

 

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Pain Management

This directive provides that you be given all treatment for alleviation of pain or discomfort at all times, even if it hastens your death except for treatment you particularly specify you do not want. 
 

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Anatomical Gifts

This directive allows you to donate organs and/or tissues for transplantation once you have been declared dead.  If you elect to donate organs and/or tissues for transplantation, you may be maintained on artificial support systems only for the period of time required to maintain the viability of and to remove such organs and/or tissues.
 

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Operative Date

Your living will becomes operative when a copy is provided to your attending physician; and you are determined by your attending physician to be incompetent and in a terminal condition or in a state of permanent unconsciousness.
 

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Executing and Delivering Your Directive

After you have completed your directive you should sign it before a notary public OR in front of two witnesses. If you sign in front of two witnesses pay particular attention to the qualifications contained in the witness statement. You should provide a copy of your completed advance directive to your attending physician and other health care providers and they shall make it a part of your medical records. You should also give a copy to trusted family members.

(If you would like to appoint an agent to make medical decisions for you in your advance directive, use the advance health care directive listed under the power of attorneys.)


SOURCE
: California Probate Code  §4670 et. seq.; Advance Directives


The price of this
Advance Directive 
is $10.00