Healthcare Decisions and Living Wills Resources | Health Education | UC Davis Health

Who can sign my Advance Health Care Directive?

• Your Advance Health Care Directive can either be signed by two witnesses or notarized.
• Witnesses must know who you are, be 18 years of age or older, not your medical decision maker nor health care provider. They also cannot work for your health care provider or work where you live. At least one witness must not be related to you or benefit financial after you pass.
• Notary Options:
  • Most banks offer notary service for members for free or a small fee.
  • The Notary Public Listing
  • UPS Store
  • Capital Live Scan, 5706 Broadway, Sacramento, CA

Where do I turn my Advance Health Care Directive into?

• MyUCDavisHealth
  • Once logged in, select Menu, then End-of-Life Planning under My Record. Under Documents on File, click Add a Document. Upload the document. The portal will show the documented as Accepted or Not accepted. You should be notified via MyUCDavisHealth if it is NOT accepted.
• Primary Care Provider's office.
• Health Information Management – Can do any of the following, below is the contact information:
• Fax: 916-734-2126
• email: hs-healtheducationclass@ucdavis.edu
• It's recommended that you provide the form to other facilities where you may receive medical care.

It is recommended to also provide it to other facilities where you may receive medical care.

English is my second language and I need these forms in my first language

• Prepareforyourcare.org offers an Advance Health Care Directive in English, Spanish, Chinese, Arabic, Armenian, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.
• The POLST can be found in multiple languages at Translations of the California POLST form

I'm unsure of how to have this discussion with my family

One great resource is: The Conversation Project. Particularly the Conversation Starter Guide (PDF), starting on Page 8.

Forms

• California Advance Health Care Directive Form (PDF)
• POLST

Other Resources

• MyUCDavisHealth Advance Care Plan Modules
  • Within MyUCDavisHealth, go to Menu, then End-of-Life Planning under My Record. On the right, you'll see Helpful Resources. We encourage you to complete Prepare for Your Care. If you do not have MyUCDavisHealth you can visit PrepareForYourCare.org. You can also take advantage of the other resources listed.
• The Coalition for Compassionate Care of California
• The Conversation Project
• File your directive with Secretary of State

Advanced Health Care Planning

• Advance Care Planning from the National Institute on Aging
• The Conversation Project
• Conversation Starter Guide (PDF)