Advance Directive & POLST Form

California law provides individuals the ability to make their health care wishes known through a form called an Advance Health Care Directive.

An Advance Health Care Directive lets your physician, family and friends know your health care preferences, including the types of special treatment you want or don't want at the end of life, your desire for diagnostic testing, surgical procedures, cardiopulmonary resuscitation and organ donation.

By considering your options early, you can ensure that your wishes are known and that your family doesn't have to "guess" or make critical medical care decisions for you under stress or while in emotional turmoil.

Advance Health Care Directive Form - English

Advance Health Care Directive - Spanish

Physician Orders for Life-Sustaining Treatment (POLST) Form - English

For more information please visit our Health Care Decisions page.

Note: This is intended for informational purposes only. If you have questions, please consult with your physician, lawyer, social worker, or other appropriate person.