Patients & Families

Advance Directives

At St. Joseph Health, Home Health Network, we support an individual’s right to choose the care they want. Our Ethical Directives of Catholic Healthcare call on us to respect the dignity of each person.

Advance Care Planning (ACP) encourages patients and families to talk about and document their care preferences in advance to ensure that the care they receive is aligned with their goals, values and priorities. We have provided resources for you and your family to help you have the conversation and document your wishes in writing.

You can download a California Advance Directive in English as well as several other languages. In addition, there is a link to provide you with Advance Directives for other States. If you or your loved one is seriously ill you may want to consider completing a POLST (Physician Order for Life Sustaining Treatment) with your physician

Advance Directive Forms

  • Click here to download a pdf ENGLISH copy of a California Advance Health Care Directive
  • Click here to access copies of California Advance Health Care Directives in SPANISH, CHINESE, RUSSIAN, TAGALOG and VIETNAMESE

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

Click here for more information and to download a copy of the POLST in ENLGISH, SPANISH, CHINESE, VIETNAMESE, KOREAN, FARSI, ARMENIAN, RUSSIAN, TAGALOG, HMONG


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

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