Advance Care Planning: Letting Your Doctor Know Your Wishes
Talking with your family, friends and your physician about your wishes
for medical care at the end of your life is called advance care planning.
It's a way for you, your loved ones and your physician to discuss
the kinds of care you want and don't want at that time. You can also
specify the care you would want if you become unable to speak or make
decisions for yourself, due to a coma or other medical condition. When
you write down your wishes, this kind of plan is called an advance directive.
If you have an Advanced Care Directive, please bring it to your appointment.
If not please download the form below and complete it.
Advance Health Care Directive is a legal document that tells your physician, your family members and
friends about what kind of care you would like to have if you become unable
to make medical decisions. It's called an advance directive because
you choose your medical care before you become seriously ill.
Advance Directive Toolkit
Learn how to make decisions about the care you would want to receive if
you become unable to speak for yourself.
Download a copy of Providence St. Joseph Health Advance Directive tool kit to assist
you and your family in having the conversation, selecting a health care
decision maker and completing an Advance Directive
Five Wishes serves as an Advance Directive and is a legally-valid tool
available for your use. Five Wishes helps ensure your wishes, and those
of your loved ones, will be respected-even if you cannot speak for yourself.
POLST (Physician Orders for Life-Sustaining Treatment)
A new law effective 1/1/16 allows Nurse Practitioners and Physician Assistants
to sign the California POLST form. The form is now available in ENGLISH
and will be available in other languages later in January 2016. For more
here for more information and to download a copy of the POLST in English, Spanish,
Chinese, Vietnamese, Korean, Farsi, Armenian, Russian, Tagalog and Hmong.
here to download a
2016 California POLST form in English.