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Forms & Resources

You’ll find on this page all you need to complete your advance care directive.

Choosing a healthcare agent is your first step. Below is a snapshot by state of residence who would make decisions on your behalf if you don’t choose an agent. 

Alaska

Infographical heirarchy of who makes healthcare decisions for you when you can't - Alaska

Washington

Infographical heirarchy of who makes healthcare decisions for you when you can't - Washington

Oregon

Infographical heirarchy of who makes healthcare decisions for you when you can't - Oregon

 

Scroll down for resources and forms by your state of residence.

Resources for Alaska

The best place to get started is by downloading an advance directive. Each Advance directive has instructions on how to complete the form. If you need additional assistance please reach out to our team or find answers to frequently asked questions.

Downloads

Information

Resources for Washington

The best place to get started is by downloading an advance directive. Each Advance directive has instructions on how to complete the form. If you need additional assistance please reach out to our team or find answers to frequently asked questions.

Downloads


Information

POLST Information

Network support
 

Vancouver and Longview

A picture of Dede Brill

Dede Brill
Program Coordinator
360-414-2169
dbrill1@peacehealth.org

Vancouver and Longview

Picture of Kelly

Kelly Hughey
Program Coordinator
360-414-7403
KHughey2@peacehealth.org

NW Washington and Alaska

Lindsey Boldrin, ACP Facilitator

Lindsey Boldrin
Program Coordinator
360-752-5267
lboldrin1@peacehealth.org

Resources for Oregon

The best place to get started is by downloading an advance directive. Each Advance directive has instructions on how to complete the form. If you need additional assistance please reach out to our team or find answers to frequently asked questions.

Downloads

Information

Submitting your completed plan

To get your completed documents on file please either upload it to your MyPeaceHealth  app or:

  • Bring a copy to any PeaceHealth clinic
  • Email rssys-peacehealthacp@peacehealth.org
  • Mail PeaceHealth, Attention: Health Information Management 1115 SE 164th Avenue, Dept. 336 Vancouver, WA 98683

Need some help?

Our team knows a lot about advance care planning. We can help answer your questions every step of the way. 

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