Get Kaiser Permanente 61180309 2019-2026

Filling out the Kaiser Permanente 61180309 form is an important step in establishing a Medical Durable Power of Attorney for healthcare decisions. This guide will provide you with clear, step-by-step instructions to ensure that you complete the form accurately and effectively.

Follow the steps to successfully complete the Kaiser Permanente 61180309 form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, appoint your primary agent by filling in their name and providing their best contact telephone number and email or alternative telephone number.
3. Indicate when your agent’s powers will begin by initializing one of the two options provided. Choose whether the powers will take effect immediately upon your signature or when a qualified medical professional determines that you are unable to make your own decisions.
4. In the 'Instructions to Agent' section, provide any specific healthcare decisions you wish your agent to make on your behalf, or state your preferences regarding life-sustaining procedures and treatments.
5. Designate alternate agents by entering their names, contact information, and addresses, ensuring you provide a backup in case the primary agent is unable to fulfill their responsibilities.
6. Sign the form with your name and include the date to indicate your understanding of the document's purpose and effects.
7. If desired, include an addendum with the signatures of the appointed agent, witnesses, and a notary, although this may not be required by Colorado law.
8. Review the completed form for accuracy, then save your changes. You can download, print, or share the form as needed.

Start filling out your Kaiser Permanente 61180309 form online today for peace of mind regarding your healthcare decisions.