Helping caregivers provide

even better care.

Get the tools you need to give loved ones the care they deserve.

We know family means everything.

Take better care of your loved ones and yourself, with support and resources from the Blue Shield Balance (HMO)1 Plan.

Blue Shield of California healthcare benefits

Blue Shield of California Caregiver resources Expand all

Get the confidence you need to care for those you love with resources specially designed to assist you on your caregiver journey.

Blue Shield of California Caregiver resources

Expand all Expand all

Get the confidence you need to care for those you love with resources specially designed to assist you on your caregiver journey.

  • Caregiver Toolkit and Organizer

    Organize and keep important information in one place, such as medication lists and doctor's office contact information.

    English (PDF, 33.5 KB)
    Español (PDF, 55.6 KB)

  • Accessing Protected Health Information

    As a caregiver to your loved one, you will need to complete one or all of the documents listed below to act as his or her representative to receive information about their health or make decisions on their behalf.

    Authorization for Use or Disclosure of Health Information Form

    A detailed document that gives permission to use protected health information for purposes other than treatment, payment, or health care operations.

    English (PDF, 141 KB)
    Español (PDF, 200 KB)
     

    Appointment of Representative (AOR) Form

    An AOR form allows you to appoint a relative, friend, advocate, attorney, or your physician to act as your representative to make any requests, to present or elicit evidence, to obtain appeals information, and to receive any notice in connection with the member’s appeal.

    English (PDF, 42 KB)
    Español (PDF, 40 KB)
     

    Advance Directives

    An Advance Directive is a form that allows an individual to appoint a person or persons to make health care decisions for them if they lose the capacity to make those decisions for themselves. 

    English (PDF, 753 KB)
     

    POLST Forms

    A POLST or Physician Orders for Life-Sustaining Treatment form is used with advance directives to serve as a continuity of care assurance. You can download the forms below or visit capolst.org for more information. 

    English (PDF, 133 KB)
    Español (PDF, 544 KB)