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Advance Health Care Directive
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The documents and processes for making your Life Care Plan vary by state. To begin, please select your state or region from the drop-down menu at the top of the page.
Your Life Care Plan can be made legally binding in the State of Hawaii. Although there are a number of documents and processes legally approved by your state to complete this task, ideally we would like you to complete an AHCD (Advance Health Care Directive).
Please make sure that any legal document you complete is shared with both your health care agent and Kaiser Permanente.
Complete Hawaii’s AHCD form
You can download and print this form to fill out with a pen or save it to your computer and type into it. To save the form from a browser window, choose File, then Save As, and then rename the file.
NOTE: If you don’t rename the file, it WILL NOT save the information you enter.
Download AHCD form in English
Follow the instructions in the form to complete it for submission.
Submit your completed and signed AHCD form
Mail your completed and signed form to:
Kaiser Permanente
c/o Scanning Department
501 Alakawa Street
Honolulu, HI 96817
Keep your original, and share copies
Always store your original AHCD form in a safe place with your other important papers.
Make sure you share copies of any legal document related to your AHCD with the people you've designated as your health care agents.
If you want more information or to request a forms packet, please contact Member Services at 1-800-966-5955 (TTY 711).