Kaiser permanente advance directive form 2026

1. Click ‘Get Form’ to open the kaiser permanente advance directive form in the editor.
2. Begin by entering your name and health record number at the top of the form. This personal information is essential for identification.
3. In Section A, specify your wishes regarding life-sustaining treatment if you have a terminal condition. Clearly state whether you want such treatments withheld or withdrawn.
4. Section B requires you to indicate your preferences if you are in an irreversible coma or persistent vegetative state. Choose whether you want life-sustaining treatment continued or stopped.
5. In Section C, decide on artificially administered nutrition and hydration. Indicate your choice clearly to ensure your wishes are honored.
6. Complete the durable power of attorney section by designating a trusted individual as your health care agent who will make decisions on your behalf if necessary.
7. Finally, sign the document in front of two witnesses who are not related to you, ensuring they also sign to validate the directive.

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