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Advance Health Care Directive

Ready to complete the form?

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 Washington. 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:

  • MDPOA/DPOA-HC (Medical/Health Care Durable Power of Attorney)
  • AHCD (Advance Health Care Directive; “Living Will”)

Please make sure that any legal document you complete is shared with both your health care agent and Kaiser Permanente.

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Download and complete Washington’s MDPOA and AHCD forms

You can download and print a form and fill it out with a pen, If the form is “fillable,” you can 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.

MDPOA (Medical/Health Care Durable Power of Attorney)
Download English (fillable form)
Download Español (Spanish)
Download 中文 (Chinese)
Download 한국어 (Korean)
Download Русский (Russian)
Download Filipino (Tagalog)
Download Tiếng Việt (Vietnamese)

AHCD (Advance Health Care Directive; Living Will/Advance Directive)
Download English (fillable form)
Download Español (Spanish)
Download 中文 (Chinese)
Download 한국어 (Korean)
Download Русский (Russian)
Download Filipino (Tagalog)
Download Tiếng Việt (Vietnamese)

Advance Health Care Directive booklet
This booklet walks you through the process of advance care planning and how to fill out the forms. (Both forms are also included in the back of the booklet.)

Download English
Download Español (Spanish)
Download 中文 (Chinese)
Download 한국어 (Korean)
Download Русский (Russian)
Download Filipino (Tagalog)
Download Tiếng Việt (Vietnamese)

Follow the instructions in the forms to complete for submission.
Please note: Both forms require either two witnesses or a notary in order to be legally valid.

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Submit your completed and signed forms

You can submit your completed and signed forms to Kaiser Permanente Washington’s Advance Directives Registry in one of three ways:

  • By email as a PDF: kpadvancedirectives@kp.org

  • By mail:
    Kaiser Advance Directives Registry
    PO Box 204
    Spokane, WA 99210-0204

  • By fax: 509-434-3185

REMEMBER: Do not send your original forms to the Advance Directives Registry. Only send copies.

Questions? Call toll-free 1-877-850-9445.

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Keep your originals, and share copies

Always store your original advance directive forms in a safe place with your other important papers.

Make sure you share copies of your forms and any other legal documents related to your forms with the people you've designated as your health care agents and your loved ones.