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Advance Health Care DirectiveLIFE CARE planning my values, my choices, my carekp.org/lifecareplanMARYLANDLIFE CARE planning my values, my choices, my careful name: Medical record number: Introduction
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How to fill out kaiser permanente advance directive

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How to fill out kaiser permanente advance directive

01
To fill out Kaiser Permanente advance directive, follow these steps:
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Obtain the advance directive form from Kaiser Permanente. This form is usually available on their website or you can request a copy from their offices.
03
Read the instructions carefully before starting to fill out the form.
04
Begin by entering your personal information, including your full legal name, date of birth, and contact details.
05
Indicate whether or not you have appointed a healthcare agent. If you have, provide their name and contact information.
06
Specify your preferences regarding medical care, such as whether you want life-sustaining treatment, hospice care, or organ donation.
07
Consider your end-of-life wishes and communicate them in the form. This can include your preferences for pain management, funeral arrangements, and last rites.
08
Review the completed form thoroughly to ensure accuracy and clarity.
09
Sign and date the advance directive.
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If you have appointed a healthcare agent, make sure they sign and date the appropriate section as well.
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Keep a copy of the advance directive for your own records and provide a copy to your healthcare agent, if applicable.
12
Consider discussing your advance directive with your family, healthcare provider, and other relevant individuals.
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Note: It is recommended to consult with an attorney or healthcare professional if you have any questions or need guidance while filling out the Kaiser Permanente advance directive form.

Who needs kaiser permanente advance directive?

01
Anyone who is 18 years of age or older and is mentally competent can benefit from completing a Kaiser Permanente advance directive.
02
It is especially important for individuals who have specific wishes regarding their medical care that they want to be followed in the event they are unable to communicate or make decisions for themselves.
03
Furthermore, individuals with chronic or terminal illnesses, those undergoing major surgeries, or those with complex medical conditions may find it particularly helpful to have an advance directive in place to ensure their preferences are respected and followed by healthcare providers.
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Kaiser Permanente Advance Directive is a legal document that allows individuals to specify their preferences regarding medical treatment and care in the event they become unable to communicate their wishes.
Any adult who wants to ensure their medical preferences are honored, especially those with specific health concerns, is encouraged to file a Kaiser Permanente Advance Directive.
To fill out a Kaiser Permanente Advance Directive, individuals should obtain the form from Kaiser Permanente, read the instructions, complete the relevant sections regarding their healthcare preferences, and sign the document in the presence of a witness or notary as required.
The purpose of a Kaiser Permanente Advance Directive is to ensure that a person's healthcare wishes are respected and followed when they are unable to make decisions for themselves.
The information that must be reported includes the individual's name, healthcare preferences, durable power of attorney for health care, any specific instructions regarding treatments, and signatures of the person and witnesses.
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