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California Medical Power of Attorney Form

Free California Medical Power of Attorney Form - PDF Form Download

California Medical Power of Attorney Form Overall rating: ☆☆☆☆☆ 0 based on 0 reviews
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The California Medical Power of Attorney form is used when one cannot make medical decisions by themselves owing to reasons beyond the control. This form provided here is just a reference document and you may need to edit or modify the contents of this document so that they meet your requirements. Although this form is in sync with the California Power of Attorney Laws, it is recommended to hire an attorney if you have any doubts.


A medical power of attorney is invoked when the person who created this medical power of attorney referenced in this document as “principal” is considered incapable of making medical decisions on their own behalf. The competence of the principal is decided by a registered medical practitioner, who has to provide in writing that the principal is unable to take medical decisions on his/her own behalf.

The form is filled with the details of the “agent” who is assigned to make decisions on behalf of the principal. Also mentioned in the documents are the radius conditions under which the power of attorney can be executed, and also the conditions under which the execution of the power of attorney is not allowed. For this form to be a valid power of attorney from you will need to fill in all the details and then get it notarized by a notary public from the state of California.

California Medical Power of Attorney Form

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