St. Jospeh Hospital Affiliated Physician
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Contact Us
Members needing assistance, should call the Customer Service Department at
(888) 881-3136 or (714) 712-3399 weekdays
between the hours of
8 a.m. and 5 p.m. 

You have the right to give instructions about your own healthcare. You also have the right to name someone else to make health care decisions for you. The Advance Healthcare Directive form lets you do one or both of these things. It also lets you write down your wishes about donation of organs and the selection of your primary physician. If you use the form, you may complete or change any part of it or all of it.

Advance Healthcare Directive form - English
Advance Healthcare Directive form - Spanish



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