Health Maintenance Guidelines
Advance Health Care Directive
This document enables you to communicate your wishes to your family and caregivers in the event of a serious medical condition whereby you cannot speak for yourself. You may obtain an Advance Health Care Directive form from your provider to discuss and complete or you may print a copy from our Web site, www.pamf.org. To make an appointment for a free consultation, please call
- 650-853-2960, Palo Alto
- 510-623-2231, Fremont
- 925-875-6150, Dublin
- 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)
Back to top
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.
To order a DNR emblem from MedicAlert call (888) 633-4298.
To order a DNR emblem from MedicAlert call (888) 633-4298.