For information regarding the clergy
Power of Attorney and Advance Health Care Directive
For information regarding the Archdiocesan Advance Health Care Directive, click here.
To complete the Health Care Directive, please open the file below.
2016 ADLA Advance Health care Directive.pdf
For information regarding the Uniform Statutory Form Power of Attorney, please contact The Vicar for Clergy Office.
To complete the Power or Attorney form, please open the file below.
ADLA Power of Attorney (PDF Version)
Retired clergy who would like to schedule a medical visit, are encouraged to complete and submit the Medical Visit Request Form.
To complete the Medical Visit Request Form, please open the file below.
Medical Visit Request Form (PDF Version)
Notices are in PDF format. If unable to open, get Adobe Acrobat Reader free.
Sr. Silvia Gurrusquieta S. de M.
Liaison to Retired and Ill Priests
Office of the Vicar for Clergy
Archdiocese of Los Angeles
3424 Wilshire Boulevard, 5th Floor
Los Angeles, CA 90010-2241
Phone: (213) 637-7284
Fax: (213) 637-6607
Email: SGurrusquieta@la-archdiocese.org