California Medical Power of Attorney Form

The California Medical (Health Care) Power of Attorney authorizes an Agent to make health care decisions on behalf of the creator of the document (who is referred to as the Principal) when they are incapable of making and communicating their own decisions. As per § 4671, the Principal may choose to include additional individual health care instructions. They may also grant authority to the Agent to make decisions relating to their personal care such as where they will live and providing meals.


State Laws & Signing Requirements

State Laws – Uniform Health Care Decisions Act

Signing Requirements (§ 4673(3)) – A California Medical (Health Care) Power of Attorney must be acknowledged before a Notary Public or signed by a minimum of two (2) witnesses.