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Laws
Statutes – Uniform Health Care Decisions Act
Definition – “Advance health-care directive” means an individual’s instructions and/or a power of attorney for health care (§ 327E-2).
Signing Requirements – Acknowledgment of Two (2) Witnesses or Notary Public (§ 327E-3)
Revocation – An advance directive may be terminated at any time by supplying the involved health care provider and agent with written notice that is signed by the principal/declarant (§ 327E-4).
Other Versions (8)
- AARP (Caring Connections)
- Catholic Diocese of Honolulu
- Five Wishes (Aging with Dignity)
- Kaiser Permanente
- Kōkua Mau
- Lifecare Directives
- Prepare for Your Care
- University of Hawaii
AARP (Caring Connections) Version
Download: Adobe PDF
Instructions: Adobe PDF
Catholic Diocese of Honolulu Version
Download: Adobe PDF
Five Wishes (Aging with Dignity) Version
Download: Adobe PDF
Download: Adobe PDF
Instructions: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Prepare for Your Care Version (also available in Spanish/en Español)
Download: Adobe PDF
University of Hawaii Version (short form also available)
Download: Adobe PDF
Information & Checklist: Adobe PDF
Multilingual Versions (10)
- Chinese (Simplified)
- Chinese (Traditional)
- Ilocano
- Japanese
- Korean
- Marshallese
- Spanish
- Tagalog
- Tongan
- Vietnamese
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
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Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
Information: Adobe PDF
Additional Resources
- Hawaii Pacific Health – Your Advance Health Care Directive
- Kaiser Permanente – Advance Directive Information
- Kōkua Mau – Advance Directive vs POLST
- Kōkua Mau – Guide to Advance Care Planning
- Kōkua Mau – Questions About CPR
- Kōkua Mau – Tube Feeding Guide
- Kōkua Mau – Your Advance Directive for Future Health Care
- Kōkua Mau – Your Conversation Starter Kit
- The Conversation Project – Being Prepared in the Time of Covid-19
Related Forms
Advance Directive for Mental Health
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF
POLST (Provider Orders for Life-Sustaining Treatment) Form
(§ 327K-1 – § 327K-4)
Download: Adobe PDF
Information: Adobe PDF
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