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You must sign this form in front of witnesses before it can be used or given to your doctor. PART 4: Make your Advance Directive legally valid. To make valid in California, your Advance Directive must be signed by two witnesses, OR acknowledged before a Notary Public.
The California Health Care Decisions Law presents a model form entitled Advance Health Care Directive that serves as both a power of attorney and an individual health care instruction [Cal. Probate Code 4701].
You can submit your completed and signed form in one of 3 ways: By email: SCALCentralized-Scanning-Center@kp.org. By mail: Central Scanning. 1011 S East St. Anaheim, CA 92805. In person: Drop off a copy at any Kaiser Permanente location or at your next scheduled appointment.
If youre enrolled in one of these plans in either the Northern California or Southern California region, you may receive visiting member services in the other California region. When you visit any Kaiser Permanente region, your coverage is the same as it is in your home region. The 90-day limit does not apply.
An advance health care directive can be made a part of the Secretary of States registry by attaching a copy of the advance health care directive to the Registration of Written Advance Health Care Directive (PDF) filed with the Secretary of State.
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Managed care giant Kaiser Permanente is going to be looking very, very closely at several Florida markets, including South Florida, to do business.
Sign on to kp.org. Click on Medical Record Select Life care planning Upload a scanned document as a single PDF file by clicking on Add a document After reviewed and approved your AHCD form will be added to your medical record.
KFH and the Kaiser Permanente Group Trust are the Participation members of this LLC, and KFH owns 75.1% and Kaiser Permanente Group Trust owns 24.9%. Kaiser Foundation Health Plan, Inc. is the fiduciary of Kaiser Permanente Group Trust.

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