For every family · any faith · California

Advance Health Care Directive Worksheet

Choose the person who will speak for you if you cannot, and tell them what matters to you. Fill in what you can, a little at a time. Your answers save on this device only, and you can export them to Word for your doctor and attorney.

Draft, still being reviewed.This tool has not yet been reviewed by an attorney. Use it to prepare and think. Have an attorney review your final documents before you rely on them.

A worksheet is not the legal form.Use this to think and decide. California’s own form (Probate Code §4701) or an attorney-prepared directive makes it legally effective once signed with the right witnesses or a notary.

Keep it private.Your answers stay on this device. Don’t enter account numbers or passwords. On a shared computer, press Clear all when you finish.