Tell everyone

Sharing your wishes

Who should know about your life care plan

The best way to make your life care plan known is to share your wishes for future health care with the people in your life.

As many people as possible should know about your life care plan. Share it with your health care agent, other loved ones, friends, roommates, and Kaiser Permanente. Your life care plan can only be acted upon if people know about it.

Share your plan verbally and in writing. Also keep any documents, such as an Advance Health Care Directive (AHCD) in a place that is easy for you and others to access. Give a copy to your health care agent, your family members, and your physician.

Advance Health Care Directive

Once you complete
your Life Care Plan

  • Make a copy for yourself and keep it where it can be easily found. You may also want to let a family member know where this copy is.
  • Give a copy to your doctor. Discuss the contents of your AHCD with your doctor to ensure that he or she understands all your wishes. Your record is available at any Kaiser Permanente medical office or hospital.

Sharing your values

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Having thought about what you would want for future health care, the next step is sharing your values and healthcare wishes with your agent.

It is also helpful to share your thought process when it comes to decision-making about health care. Sharing your goals of care and underlying beliefs will help guide your agent if they ever need to speak on your behalf.

A conversation about values is very intimate, especially as it relates to how you want to live the rest of your life. We are influenced by so many things; from, personal experiences, to family member’s values and wishes, to religious values and even the media. There are no “right answers” when it comes to your values. They are personal to you.

Before you start sharing your values and goals of care with your agent, it is helpful to be in a comfortable place without distractions and to allow for plenty of time. Your agent may want to ask you questions so that they can explore your values and beliefs with you. Sharing your values with your agent will help them know you well so that they are able to communicate on your behalf if they ever need to.

Making your life care plan legal

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Your life care plan can be made legal in the State of California. There are a number of different documents or processes you can use which are legally approved by the state. Ideally, we would like you to complete an Advance Health Care Directive (AHCD). Please make sure that any legal document you complete is shared with both your health care agent and Kaiser Permanente.

An Advance Health Care Directive is an official document in which you can specify your values and health care wishes. This document can be made legal in the state of California in two ways; either by having two witnesses sign with you or by having it acknowledged before a Notary Public.

Two Witnesses

  1. Sign your AHCD in the presence of two witnesses or have each of your witnesses acknowledge your signature. They merely need to look at your signature and acknowledge that it came from you.
  2. At least one of your witnesses cannot be related to you (blood, marriage or adoption) and cannot be entitled to any part of your estate.
  3. Neither witness can be your appointed health care agent.
  4. Neither witness can be your health care provider.
  5. You will sign on one page, and the two witnesses will sign on another page.

or

Notary Public

  1. Sign your AHCD in the presence of a Notary Public. The Notary Public will complete the appropriate page with his or her signature and official seal.

Patients in a skilled nursing facility

In addition to the above, patients in a skilled nursing facility must get the signature of the ombudsman or patient advocate at that facility.

Please follow the specific instructions on page 11 of the Advance Health Care Directive.

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There are a number of different documents or processes you can use which are legally approved by the state of Colorado. Ideally, we would like for you to complete an Advance Health Care Directive (AHCD).  Please make sure that any legal document you complete is shared with both your health care agent and Kaiser Permanente.

An Advance Health Care Directive is an official document in which you can specify your values and health care wishes. By indicating your health care agent and signing the Advanced Health Care Directive, your health care agent becomes your legally appointed representative in the state of Colorado.   If you would like the document to serve as an Advance Directive (includes preference for care) in addition to assigning a Health Care Agent, it must be signed by two witnesses. Notary seal is optional.

Two Witness

  1. Sign your AHCD in the presence of two witnesses or have each of your witnesses acknowledge your signature. They merely need to look at your signature and acknowledge that it came from you.
  2. Neither or your witness can be related to you (by blood, marriage, or adoption) and cannot be entitled to any part of your estate.
  3. Neither witness can be your appointed health care agent.
  4. Neither witness can be your health care provider or the employee of the health care facility in which you are the patient.
  5. You will sign on one page, and the two witness will sign on another page

or

Notary Public:

  1. Sign your AHCD in the presence of a Notary Public. The Notary Public will complete the appropriate page with his or her signature and official seal.

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Your life care plan can be made legal in the District of Columbia. There are a number of different documents or processes you can use which are legally approved by the District of Columbia. Ideally, we would like for you to complete an Advance Health Care Directive (AHCD). Please make sure that any legal document you complete is shared with both your health care agent and Kaiser Permanente.

An Advance Health Care Directive is an official document in which you can specify your values and health care wishes. This document can be made legal in the District of Columbia by having two witnesses sign with you.

Two Witness

  1. Sign your AHCD in the presence of two witnesses or have each of your witnesses acknowledge your signature. They merely need to look at your signature and acknowledge that it came from you.
  2. At least one of your witnesses must not be related to you (by blood, marriage, adoption or domestic union) and cannot be entitled to any part of your estate.
  3. Neither witness can be your appointed health care agent.
  4. Neither witness can be your health care provider or the employee of the health care facility in which you are the patient.
  5. You will sign on one page, and the two witness will sign on another page.

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Your life care plan can be made legal in the State of Maryland. There are a number of different documents or processes you can use which are legally approved by the state. Ideally, we would like for you to complete an Advance Health Care Directive (AHCD). Please make sure that any legal document you complete is shared with both your health care agent and Kaiser Permanente.

An Advance Health Care Directive is an official document in which you can specify your values and health care wishes. This document can be made legal in the State of Maryland by having two witnesses sign with you.

Two Witness

  1. Sign your AHCD in the presence of two witnesses or have each of your witnesses acknowledge your signature. They merely need to look at your signature and acknowledge that it came from you.
  2. Neither of your witness can be related to you (by blood, marriage, or adoption) and at least one witness cannot be entitled to any part of your estate.
  3. Neither witness can be your appointed health care agent.
  4. You will sign on one page, and the two witness will sign on another page.

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Your life care plan can be made legal in the State of Oregon. The State of Oregon requires you to complete an Oregon Advance Directive. Ideally, we would like for you to complete the Kaiser Advance Health Care Directive which includes the legal state required Oregon Advance Directive. Please make sure than any legal document you complete is shared with both your health care agent and Kaiser Permanente.

An Advance Health Care Directive is an official document in which you can specify your values and health care wishes. This document can be made legal in the State of Oregon by having two witnesses sign with you.

Two Witnesses:

  1. Sign your AHCD in the presence of two witnesses or have each of your witnesses acknowledge your signature. They merely need to look at your signature and acknowledge that it came from you.
  2. At least one of your witnesses cannot be related to you (blood, marriage or adoption) and cannot be entitled to any part of your estate.
  3. Neither witness can be your appointed health care agent.
  4. Neither witness can be your health care provider. They must not own, operate or be employed at a health care facility where the person is a patient or resident.
  5. You will sign on one page, and the two witnesses will sign on another page

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Your life care plan can be made legal in Virginia. There are a number of different documents or processes you can use which are legally approved by the state. Ideally, we would like for you to complete an Advance Health Care Directive (AHCD). Please make sure that any legal document you complete is shared with both your health care agent and Kaiser Permanente.

An Advance Health Care Directive is an official document in which you can specify your values and health care wishes. This document can be made legal in Virginia by having two witnesses sign with you.

Two Witness

  1. Sign your AHCD in the presence of two witnesses or have each of your witnesses acknowledge your signature. They merely need to look at your signature and acknowledge that it came from you.
  2. Any person over the age of 18, a spouse, other family member, or health care provider may be your witness.
  3. You will sign on one page, and the two witness will sign on another page.

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Your life care plan can be made legal in the State of Washington. There are a number of different documents or processes you can use which are legally approved by the state. Ideally, we would like for you to complete an Advance Health Care Directive (AHCD). Please make sure that any legal document you complete is shared with both your health care agent and Kaiser Permanente.

An Advance Health Care Directive is an official document in which you can specify your values and health care wishes. This document can be made legal in the State of Washington by having two witnesses sign with you.

Two Witness

  1. Sign your AHCD in the presence of two witnesses or have each of your witnesses acknowledge your signature. They merely need to look at your signature and acknowledge that it came from you.
  2. Neither of your witness can be related to you (by blood, marriage, or adoption) and cannot be entitled to any part of your estate.
  3. Neither witness can be your appointed health care agent.
  4. Neither witness can be your health care provider or the employee of the health care facility in which you are the patient.
  5. You will sign on one page, and the two witness will sign on another page.

What if you want to change your life care plan

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You can change your life care plan at any time. In fact, it is not unusual to want to make changes to your care plan.

We encourage you to periodically review your values and wishes for future health care to make sure that what you specified at an earlier point in time still reflects what you want.

Any time you make changes to your life care plan or Advance Health Care Directive (AHCD), please let your physician, agent, and loved ones know of the changes. If you are hospitalized and able to speak for yourself, any choices you make will be honored even if they are different than those expressed in your written AHCD.

If you decide you want to make changes to your AHCD, fill out a new one. Give the new version to your doctor, your agent, and anyone else who has a copy of your old AHCD. Ask your agent and family members to bring you the old versions of your AHCD so you can discard them.