
CA Kaiser Advance Health Care Directive Kit 2009-2025 free printable template
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You can also have this optional supplement witnessed along with your Advance Directive in order to help guide your health care agent s. MY HEALTH CARE CHOICES OPTIONAL SUPPLEMENT 1 of 4 Personal Health Care Instructions Communication Form Name Kaiser MRN I. Connect to our Web site at kp.org and enter writing an advance directive in the search box. You can also visit your doctor s home page at kp.org/mydoctor if you are a Kaiser Foundation Health Plan member in Northern California. Go to the...
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How to fill out directive kaiser form

How to fill out kaiser advance health directive
01
Obtain the Kaiser Advance Health Directive PDF from a Kaiser Permanente facility or download it from their official website.
02
Carefully read the introductory instructions in the kit to grasp the purpose of the directive.
03
Designate your health care agent by filling out the appropriate section with their full name and contact details.
04
Specify your health care wishes, including preferences for life-sustaining treatments and other medical interventions.
05
Review the completed information to ensure all of your wishes are clearly articulated and understood.
06
Sign and date the document in the presence of a witness or a notary public, as required by California law.
07
Distribute copies of the finished directive to your designated health care agent, family members, and your primary care physician.
Who needs kaiser advance health directive?
01
Individuals with Health Care Preferences: Anyone seeking to ensure their medical wishes are respected when they cannot communicate their preferences.
02
Patients with Chronic Conditions: Individuals with specific health care preferences and those facing significant medical risks who want to plan for future health care needs.
03
Those Appointing a Health Care Agent: Patients who wish to appoint someone to make decisions regarding their medical treatment on their behalf.
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