Dameron Hospital

Advanced Health Care Directives


An Advance Directive is a set of written instructions expressing how you want future health care decisions made if you are unable to make them yourself. If you can't make treatment decisions, your doctor will ask your closest available relative or friend to help decide what is best for you.

Most of the time, that works. But sometimes everyone doesn't agree about what to do. That's why it is helpful to prepare in advance what you want to happen if you can't speak for yourself.

Advance Health Care Directive
English Version
Spanish Version


Before you sign:

Choose which sections you wish to include, and fill in the blanks. If you want to add specific instructions in your own words, you may do so. You should be 18 or older if you wish your advance directive to be legally binding. If you need more space, attach extra sheets and sign or initial at the bottom of each sheet.

After you sign:
Have two witnesses sign, also. If you are appointing a health care representative, sit down with him/her and talk about your wishes and goals for your care.
Give copies to: (1) your health care representative, if you are appointing one; (2) your doctor and other health care providers, such as your hospital, home health care agency, or nursing facility; (3) close family members or friends. When you give them a copy of your advance directive, take some time to explain what it says and what your wishes are.

If you would like more information on Advance Directive, please click here.


Dameron Hospital Association
525 West Acacia Street, Stockton, CA 95203   Tel: 209.944.5550
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