For Patients & Visitors

Advance Care Planning

You have the right to give instruction about your own healthcare if, for any reason, you are unable to speak for yourself. You also have the right to name someone else to make health care decisions for you. The Advance Healthcare Directive form lets you do one or both of these things. It also lets you write down your wishes about donation of organs and the selection of your primary physician. If you use the form, you may complete or change any part of it or all of it.

Advance Directive Tool Kit

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

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 Order 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 information visit www.capolst.org

Click here for more information and to download a copy of the POLST in English, Spanish, Chinese, Vietnamese, Korean, Farsi, Armenian, Russian, Tagalog and Hmong.

POLST Forms

Click here to download a 2016 California POLST form in English.

How to Get Started

The Center for Advance Care Planning and Advocacy

The best time to start the conversation about the kind of care you’d want if you were in an accident or became seriously ill is now. The Center for Advance Care Planning and Advocacy is dedicated to engaging the community and health care providers in conversations about what matters and ensuring that our patient’s care preferences are honored. We can help you think about the care you’d want, talk to your loved ones about your decisions, choose your advocate and complete an advance directive. For additional resources, please visit our website at www.talkaboutwhatmatters.org

Start the Conversation with these Four Steps:

  1. THINK- about your values, goals and care preferences if you were to become seriously ill
  2. TALK - to your loved ones about these care preferences
  3. CHOOSE - someone to speak for you if you can’t speak for yourself
  4. COMPLETE - an Advance Directive