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Advance Health Care Directive - Life Care Planning (LCP)

Welcome to Life Care Planning

Forms:
Advance Health Care Directive (English)
Advance Health Care Directive (Spanish)


Completed Form Checklist:

  • Pages are complete and legible
  • Name and medical record number is on each page
  • Document is signed
  • Either the Statement of Witnesses or the Notary sections are completed

 

How to Submit your form for Napa Solano (Northern California) members:
1. Drop off at your most convenient facility Health Education Department

  • Fairfield:  1st floor near the main entrance, #120
  • Napa:  Claremont bldg., 1st floor between Pharmacy 1 and Medicine 3
  • Vacaville:  MOB A, 1st floor, A14
  • Vallejo:  MOB, 2nd floor, #204

 

2. Upload your completed document online

  • Sign on to kp.org
  • Click on “Medical Record”
  • Select “Life care planning”
  • Upload a scanned document as a single PDF file by clicking on “Add a document”
  • After reviewed and approved your AHCD form will be added to your medical record.