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CALIFORNIA END OF LIFE OPTION ACT 2016 DATA Reporter more information: https://www.cdph.ca.gov/Programs/CHSI/Pages/EndofLifeOptionAct.aspx Contact: Colin×CDP.ca.executive Summary California's End
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How to fill out california end of life

01
Start by obtaining a copy of the California End of Life Option Act form.
02
Read the instructions on the form carefully to understand the requirements and procedures.
03
Fill out your personal information accurately, including your name, date of birth, and contact information.
04
Choose a qualified attending physician who will assist you throughout the process.
05
Consult with your physician to discuss your eligibility and the potential risks and benefits.
06
Ensure you have a second physician who can confirm your diagnosis, prognosis, and mental competence.
07
Complete the required sections of the form, including your request for medical aid in dying.
08
Sign and date the form in the presence of two witnesses who are at least 18 years old and not beneficiaries of your estate.
09
Submit the completed form to your attending physician and discuss next steps.
10
Follow the necessary waiting periods and additional requirements as outlined by the California End of Life Option Act.
11
Discuss your decision with your loved ones and ensure they are aware of your wishes.
12
Consider seeking emotional and psychological support during this process as it can be emotionally challenging.

Who needs california end of life?

01
Individuals who have been diagnosed with an incurable and irreversible disease.
02
People who are mentally competent and able to make informed decisions about their end-of-life care.
03
Residents of California who meet the specific eligibility criteria outlined in the California End of Life Option Act.
04
Individuals seeking autonomy and control over their own medical decisions.
05
Those who have considered all available treatment options and wish to explore the option of medical aid in dying.
06
Patients who have a prognosis of six months or less to live, as confirmed by two physicians.
07
Individuals who value the ability to die peacefully and avoid unnecessary suffering.
08
Patients who have a strong support system in place and have discussed their decision with loved ones.
09
Individuals who fully understand the potential risks, benefits, and alternatives related to medical aid in dying.
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California end of life is a form that documents a person's preferences for end-of-life care and treatment.
Any individual who wants to document their end-of-life care preferences can file California end of life.
California end of life can be filled out by providing information about the individual's preferences for medical treatment, care, and end-of-life decisions.
The purpose of California end of life is to ensure that an individual's end-of-life care preferences are known and followed by healthcare providers.
California end of life typically includes information about preferences for life-sustaining treatment, palliative care, and organ donation.
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