The Office of the Long-Term Care Patient Representative

The Office of the Long-Term Care Patient Representative (OLTCPR), a new program within the California Department of Aging (CDA), provides trained representatives for specified long-term care residents who may need medical treatment but lack the capacity to make health care decisions and have no legal surrogate authorized to make decisions on their behalf.


Under state law (Health and Safety Code section 1418.8), skilled nursing and intermediate care facilities may convene an interdisciplinary team to make medical decisions for residents who lack capacity and have no legal surrogate. These teams include the resident’s physician, a registered nurse responsible for the resident’s care, and other appropriate staff. In the past, the teams also sometimes included patient representatives, but this was not required. As the result of a court case, skilled nursing and intermediate care facilities will be required to include a patient representative when they convene an interdisciplinary team. This new requirement became effective January 27, 2023.


Identifying Patient Representatives

Under the new requirements, facilities are responsible for identifying a friend, relative, or someone else to serve as a patient representative when an interdisciplinary team is convened. If the facility is unable to identify a representative, the OLTCPR will provide a public patient representative who has completed required training and passed a criminal background check.

To request a public patient representative, click the California Patient Representative Information System (CAPRIS) button:


You must be registered to access CAPRIS. To request access to CAPRIS, please complete the CAPRIS User Action Request Form and submit via email to the Office of the Patient Representative at

Designated Public Patient Representatives Coverage Area
Office of the Long-Term Care Patient Representative
California Department of Aging
2880 Gateway Blvd, Ste. 200
Sacramento, CA 95833
(916) 800-5084
All counties, with the exception of those below
Los Angeles County Department of Mental Health
Gilda Ramos
Assistant Division Chief
510 S. Vermont Ave. 19th fl.
Los Angeles, CA 90020
(213) 974-0515
Los Angeles, Riverside, San Bernardino Counties
Yolanda Whittington
3756 Santa Rosalia Drive, Suite 219
Los Angeles, CA 90008
(323) 291-0191
Orange County


For questions about the new program, email or call (916) 800-5084.