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  • Advance Health Care Directive (AHCD) Form (.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.

To order a DNR emblem from MedicAlert call (888) 633-4298.
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