Member Tools

Forms and documents

Advance Directive

Advance Directive is a way for you to put your own wishes for end-of-life care in writing. One day we may have to make the decision about how much or how little we want done as we approach our final days. Filling out an Advance Directive lets you decide this for yourself.

By planning ahead, you have made your own wishes clear. This takes the burden off of you family.  A copy of an Advance Directive form you can print can be found below. After you fill it out, give a copies to your doctor and family members. Let them know what you have chosen for yourself.

All Health Plan of San Joaquin members who speak languages other than English can ask for help. You have the right to no-cost interpreting, as well as American Sign Language. You do not have to use a friend or children to translate for you.

A translator can help you:

• Listen to your doctor and tell you what he/she is saying in your language
• Tell your doctor what you are saying

Need help getting a translator in your language? Call HPSJ’s Customer Service Department at 888.936.7526 TTY/TDD 711.

NOTE: If you want a person who speaks your language to help at your doctor’s visit, call Customer Service at least 5 (five) working days before your scheduled appointment.

We can help you:

• Make an appointment
• Talk to the Advice Nurse
• Talk to your health care provider during your visit

We can also help you with:

• Claims
• Questions
• Complaints
• Referrals to community programs

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