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Get Kaiser Permanente Advance Directive Form
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How to fill out the Kaiser Permanente Advance Directive Form online
Filling out the Kaiser Permanente Advance Directive Form is a crucial step in ensuring your health care preferences are honored when you may not be able to communicate them. This guide provides clear and supportive instructions to help you navigate the process effectively and efficiently.
Follow the steps to complete the form online
- Click ‘Get Form’ button to obtain the Kaiser Permanente Advance Directive Form and open it in the editor.
- Begin by filling out your personal information, including your name and health record number, in the designated fields on the form. Ensure that your entries are accurate to avoid any issues regarding your directives.
- In the health care directive section, clearly indicate your wishes regarding life-sustaining treatment by selecting appropriate choices as outlined in the form. Be specific about your preferences for situations involving terminal conditions and irreversible comas.
- If you have particular instructions about artificially administered nutrition and hydration, specify whether you want these measures withheld or maintained under the stated conditions.
- Designate a trusted person as your health care agent by filling out their name and contact information in the durable power of attorney section. It is important to have discussed your decisions with this individual prior to completing this section.
- Include any general statements or special provisions regarding the authority granted to your health care agent, ensuring it aligns with your values and choices.
- After reviewing all entries for accuracy, sign the form and ensure it is witnessed appropriately. In Washington state, two witnesses who are not related to you must sign the document for it to be valid.
- Once completed, save your changes, and download or print the form for your records. Ensure that copies are distributed to your health care agent and included in your medical records, as well as maintained in a secure location.
Start documenting your wishes today by filling out your Kaiser Permanente Advance Directive Form online.
Kaiser's advance directive is a legal document that allows you to express your health care preferences in advance. The Kaiser Permanente Advance Directive Form is tailored to ensure that your wishes are clear and respected when you cannot communicate them yourself. This empowering tool ensures your health care choices align with your values and desires.