Preventive Health Guidelines
Advance Health Care Directive
- Advance Health Care Directive (AHCD) Form (.pdf)
- Advance Health Care Directive (AHCD) Instructions (.pdf)
- Easy Reader English AHCD Form (4mb .pdf)
- Easy Reader Spanish AHCD Form (1mb .pdf)
- Advance Health Care Directive (AHCD) Frequently Asked Questions (.pdf)
- Advance Health Care Directive Terminology (.pdf)
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Special Note: If you would like help in completing your Advance Health Care Directive, you may sign up for a free one hour counseling session with one of our trained volunteers. We will have the form witnessed, make you copies and have it scanned into your medical record. Call 650-934-7380 for an appointment.
• CA out-of-hospital DNR form (.pdf)
• Form to order a DNR emblem from MedicAlert (.pdf)
• CA out-of-hospital DNR form (.pdf)
• Form to order a DNR emblem from MedicAlert (.pdf)