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Advanced Care Planning Directives

Communicating the Care Plan You Want

Having an Advance Health Care Directive enables you to communicate the kind of care you want and actions that should be taken if you are ever unable to decide for yourself or communicate your wishes. You may also select a trusted person to make decisions about your health care if you are unable to for yourself.

An Advance Health Care Directive is a legal document accepted by the state of California as a replacement for a Living Will, Durable Power of Attorney for Health Care, and Natural Death Act Declaration documents. Please note, California’s Advance Health Care Directives may not be accepted in other states.

Documenting your wishes easy to do. After completing a required 8-page form, give the forms to your physicians, and family or trusted friends. It’s important that you openly share your wishes with the people in your life so they are known by those who will be providing your care.

Complete an Advance Directive Form

Complete the form below to indicate your wishes regarding medical treatment and identify a person who will speak for you, if needed. Give copies to your designated representative, physician, and clinic or hospital.

Download the Advance Health Care Directive form:

More information about Advance Health Care Directives, as well as classes to learn how to communicate your health wishes in writing are available, call Member Services at (310) 257-7250, press 1 or toll-free at (866) 568-4472.