Get Advance Health Care Directive Form - Hawaii Department ...

Completing the Advance Health Care Directive Form is an important step in ensuring that your health care preferences are honored when you are unable to communicate them. This guide provides clear, step-by-step instructions to help you fill out the form correctly and efficiently online.

Follow the steps to complete your Advance Health Care Directive Form online.

1. Press the ‘Get Form’ button to access the Advance Health Care Directive Form and open it in your editor.
2. Fill in your personal information at the top of the form, including your full name, address, and date.
3. In Part 1, indicate your preferences by selecting one option in each section regarding life prolongation, artificial nutrition, pain relief, and hospice care.
4. For ethical, religious, or spiritual instructions, provide the name and contact information for any spiritual advisor or organization you wish to involve.
5. Designate a primary care physician by providing their name and phone number.
6. If you have additional wishes or instructions, use the space provided or attach extra pages if necessary.
7. Proceed to Part 2 to designate your health care agent. Fill in their name, relationship, contact details, and whether you want an alternate agent.
8. Indicate your agent’s authority and specify whether it becomes effective immediately or when determined by your physician.
9. Sign and date the form. Ensure it is witnessed by two qualified individuals or notarized to meet legal requirements.
10. Once completed, save your changes and download a copy. You may also choose to print or share it as needed.

Ensure your health care wishes are known by completing your Advance Health Care Directive Form online today.