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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 region.
Your Life Care Plan can be made legally binding in the State of California. 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.
Enroll online for our Life Care Planning Workshop – You’ll learn about the role of a health care decision-maker, how to complete an Advanced Health Care Directive, and more.
Download and complete California’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 English
Download Español (Spanish)
Download 中文 (Chinese)
Download Tiếng Việt (Vietnamese)
Follow the instructions in the form to complete it for submission.
Submit your completed and signed AHCD form
You can submit your completed and signed AHCD online, by mail or in person.
To submit online
- Print your completed form
- AHCD must be signed by two witnesses OR acknowledged before a Notary Public
- Scan the signed form back into your computer
- Sign in to kp.org and submit your scanned form file on the life care planning tile under Medical Record. (On that page, start by selecting Add a document.)
To submit by mail
- Contact your local Health Education department.
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.