An Advance Health Care Directive is a key part of any estate plan, allowing you to name who makes medical decisions if you cannot communicate them yourself and to set your wishes about treatments in specific circumstances. At the Law Offices of Robert P. Bergman, we help clients in Black Point-Green Point and Marin County understand how this document interacts with other estate planning tools like revocable living trusts, powers of attorney, and HIPAA authorizations. This introduction explains the purpose of an Advance Health Care Directive and why clear, well-drafted instructions protect your dignity and personal choices when health crises occur.
Preparing an Advance Health Care Directive includes selecting a trusted decision-maker and describing your medical preferences in clear language. This document reduces family uncertainty, guides treating physicians, and complements related documents such as a financial power of attorney, a HIPAA release, and your will or trust. For residents of Black Point-Green Point, effective planning involves discussing values and practical choices ahead of time, ensuring those you appoint understand your priorities. Careful drafting also helps prevent disputes and provides peace of mind to you and your loved ones during stressful medical events.
An Advance Health Care Directive offers clarity about life-sustaining treatment preferences, pain management, and organ donation wishes, and it identifies the person authorized to make health decisions on your behalf. For families in Black Point-Green Point, having a directive in place reduces ambiguity during emergencies, shortens delays in treatment decisions, and helps align medical care with your values. The document also eases emotional burdens on relatives who might otherwise disagree about care. Properly coordinated with documents like a HIPAA authorization and a power of attorney, the directive becomes part of a unified plan that protects your autonomy and supports better communication with medical providers.
The Law Offices of Robert P. Bergman serves clients across Marin County and the Bay Area with practical, accessible estate planning services. Our approach focuses on listening to each client’s priorities, explaining legal options clearly, and preparing documents that are both compliant with California law and tailored to individual needs. We assist with Advance Health Care Directives, HIPAA authorizations, living trusts, and related estate planning instruments. Clients benefit from responsive communication, attention to detail, and guidance on coordinating health care preferences with broader estate arrangements, ensuring documents work together smoothly when they are needed most.
An Advance Health Care Directive is a legal document that lets you state your medical treatment preferences and appoint a trusted person to make decisions if you are unable to communicate. It covers scenarios like terminal illness, persistent unconsciousness, and other emergencies where immediate decisions might be needed. The directive often addresses life-sustaining treatments, resuscitation, artificial nutrition, and pain relief, while a HIPAA authorization allows named parties to access medical records. In California, clear language and appropriate signatures make the directive effective across hospitals, clinics, and other care settings.
When creating an Advance Health Care Directive, it is important to think through values and outcomes rather than anticipating every medical scenario. The document should identify a primary decision-maker and alternates, state preferences about specific interventions, and indicate any conditions under which you would refuse or request treatment. Coordination with other estate planning documents like a revocable living trust or a financial power of attorney ensures that medical directives and financial authority are aligned. Regular review and updates keep instructions current with changes in health, relationships, and personal priorities.
An Advance Health Care Directive combines two main elements: instructions about medical care preferences and the appointment of a health care agent. The named agent has authority to make decisions consistent with your stated wishes and California law when you lack capacity. The directive may include details on resuscitation, ventilation, feeding tubes, comfort-focused care, and organ donation. By documenting your choices, the directive guides clinicians and reduces the need for court proceedings. Including a HIPAA release alongside the directive ensures designated persons can obtain necessary medical information to make informed decisions on your behalf.
Key elements of an Advance Health Care Directive include naming a principal health care agent, specifying treatment preferences, designating alternates, and signing the document according to California requirements. The process typically begins with a conversation about values and goals of care, followed by drafting clear statements and selecting people who understand and will honor your wishes. Once signed and witnessed, the directive should be shared with family members, your agent, and your primary care provider. Keeping copies with other estate planning documents such as a will, trust, and HIPAA authorization helps ensure the directive is available when needed.
Understanding terminology helps you make informed choices when drafting an Advance Health Care Directive. Common terms include health care agent, capacity, life-sustaining treatment, DNR (do not resuscitate), and comfort care. Familiarity with these phrases ensures your document communicates intentions clearly to providers and loved ones. A glossary of terms can remove confusion and make discussions with your appointed agent and medical team more productive. Properly defining terms in your directive prevents misunderstandings during emotional or urgent medical situations and supports decisions consistent with your values.
A health care agent is the person you appoint to make medical decisions on your behalf if you are unable to do so. This individual should understand your preferences, be willing to communicate with medical professionals, and be able to act calmly under pressure. The agent’s role includes interpreting your directive, making decisions in unforeseen circumstances, and ensuring your care aligns with stated values. Choosing alternates can provide backup if your primary agent is unavailable. Communicating your wishes in advance helps the agent make decisions that reflect your priorities and reduces family conflict.
Capacity refers to your ability to understand relevant information and make informed medical decisions at a given time. Incapacity occurs when a person cannot grasp the nature of their medical condition or the consequences of treatment choices. Determinations of capacity are made by treating clinicians, and when incapacity is established, the authority in the Advance Health Care Directive becomes effective. It is important to discuss threshold scenarios and how decisions should be made when capacity is uncertain. Clear instructions help clinicians and appointed agents determine when to rely on the directive.
Life-sustaining treatment includes medical interventions like mechanical ventilation, cardiopulmonary resuscitation, dialysis, and artificial nutrition that extend biological life. Your directive can state preferences for accepting, limiting, or declining these treatments under certain conditions. Many people choose comfort-focused care over aggressive interventions in irreversible or terminal situations, while others prioritize maximum treatment. Clearly describing the circumstances in which you would permit or refuse life-sustaining treatment helps medical teams and your agent implement your wishes appropriately and reduces ambiguous decision-making during crises.
A HIPAA authorization is a companion document that permits designated individuals to access your protected health information. Without this release, privacy rules can prevent family members or agents from obtaining medical records needed to make informed decisions. Including a HIPAA authorization with your Advance Health Care Directive ensures your agent can communicate with physicians, review test results, and coordinate treatment. Granting this access in advance removes obstacles during emergencies and allows appointed decision-makers to act quickly and confidently on your behalf.
An Advance Health Care Directive focuses exclusively on medical decision-making, while a financial power of attorney covers financial and administrative matters. A revocable living trust and a will address property distribution and guardianship for minor children. For comprehensive planning, these documents should be coordinated: the directive directs medical care, the HIPAA authorization allows access to records, and the financial power of attorney handles billing and benefits. Understanding how each tool operates and interacts helps ensure seamless decision-making when health or capacity changes occur, preventing legal gaps and family disputes.
A limited Advance Health Care Directive can be appropriate for people facing temporary medical procedures, short hospitalizations, or specific treatments like surgery where immediate decisions may be needed. In such cases, a targeted directive combined with a HIPAA authorization allows designated individuals to act for a defined episode of care without establishing broad, long-term authority. This approach is helpful for those who prefer a concise document that addresses only foreseeable short-term situations while leaving broader estate planning for later. Clear, focused language makes the directive effective for the intended circumstances and reduces unintended consequences.
Some people have straightforward preferences that do not require extensive detail, such as an unequivocal desire to avoid mechanical life support or to pursue all available measures. For these individuals, a concise directive that names an agent and briefly states the core wishes may be sufficient. This streamlined document can be easy to complete and share with medical providers and family. However, even with simple preferences, including a HIPAA authorization and considering alternates for your agent helps ensure that decisions can be made promptly and accurately when needed.
A comprehensive planning approach is recommended when medical conditions are complex, when family dynamics could complicate decision-making, or when there are multiple properties, beneficiaries, or care providers involved. In such situations, integrating an Advance Health Care Directive with a revocable living trust, durable financial power of attorney, and HIPAA releases creates a cohesive plan that addresses both medical and financial decision-making. Detailed directives and carefully chosen agents reduce the risk of disputes and ensure that all legal instruments work together to reflect your intentions and protect your interests.
When long-term care planning, retirement assets, or special needs for loved ones are factors, a coordinated plan helps preserve resources and implement health care preferences. Comprehensive planning anticipates transitions, addresses contingencies like successor agents, and ensures that HIPAA releases and powers of attorney empower the right people at the right time. It also provides mechanisms, such as trust provisions and guardianship nominations, to support family members and dependents. A thorough review and regular updates maintain consistency across documents as circumstances and laws change over time.
A comprehensive estate plan that includes an Advance Health Care Directive, HIPAA authorization, living trust, and financial power of attorney creates clarity and continuity. This integrated approach minimizes the chance of conflicting instructions, streamlines decision-making during medical crises, and helps ensure that appointed decision-makers have legal access to necessary information and accounts. By addressing both health care and financial matters, a well-rounded plan protects your wishes, prevents delays in treatment and benefits access, and reduces stress for family members who might otherwise struggle to act without clear authority.
Another benefit of a comprehensive approach is improved coordination with medical providers and institutions. When a HIPAA authorization accompanies the directive, agents can obtain records and speak directly with clinicians, accelerating decisions and reducing administrative obstacles. Integrating the directive with documents like a pour-over will or trust ensures property and healthcare decisions follow the intent you have set. Regularly reviewing these documents helps reflect changes in health, family structure, or preferences, maintaining alignment between your medical directives and overall estate plan.
A coordinated plan streamlines decision-making by designating clear authority and documenting preferences, which reduces ambiguity when medical crises occur. This clarity lessens the emotional burden on family members who might otherwise be unsure how to proceed, and it helps prevent disputes that can arise without written instructions. When an agent is authorized and has access to medical records through a HIPAA release, decisions are based on current clinical information and your stated goals. The result is smoother interactions with medical staff and greater confidence that your wishes guide care decisions.
Combining an Advance Health Care Directive with a durable financial power of attorney and a trust protects both your personal and financial affairs during incapacity. The health care directive addresses medical choices while the financial documents allow trusted persons to pay bills, manage retirement accounts, and ensure housing and care arrangements continue uninterrupted. This coordination helps prevent the need for court-appointed guardianship or conservatorship, preserving your autonomy and saving time and expense. A cohesive plan supports continuity of care and financial stability for you and your loved ones.
Selecting a health care agent requires thoughtful consideration of trustworthiness, communication skills, and availability. Choose someone who understands your values, can represent your wishes clearly to medical staff, and is comfortable making decisions under pressure. Discuss scenarios and preferences in advance so your agent is prepared and confident. Consider naming alternates in case your primary agent is unavailable. Providing written guidance and having regular conversations about your values reduces uncertainty and helps your agent act in ways that reflect your priorities in real situations.
Once your directive and HIPAA authorization are signed, provide copies to your health care agent, alternates, primary care physician, and close family members. Store originals in a secure but accessible place and consider uploading copies to your medical portal if available. Review and update the documents after major life events such as marriage, divorce, changes in health, or relocation. Regular updates ensure that your appointed decision-makers and medical providers have current instructions and that the documents reflect your present wishes and circumstances.
Creating an Advance Health Care Directive before a medical crisis ensures your wishes guide care and relieves loved ones of making difficult choices without guidance. The document clarifies preferences about life-sustaining treatments, comfort care, and other medical interventions while naming trusted decision-makers. Early planning is important regardless of current health because accidents and sudden illnesses can strike at any time. By preparing the directive alongside related documents like a financial power of attorney and HIPAA authorization, you create an integrated plan that safeguards your autonomy and supports practical decision-making.
Another reason to consider drafting a directive now is to avoid unnecessary court involvement and delays. Properly signed and disseminated documents empower appointed agents to act promptly, minimizing interruptions in treatment and benefits management. Advance planning also enables conversations with family members that set expectations and reduce potential conflicts. For residents of Black Point-Green Point and Marin County, local medical providers are familiar with these documents, and having your paperwork in order improves coordination of care across hospitals and clinics when timely decisions matter most.
An Advance Health Care Directive is commonly used before surgeries, during chronic illness management, for individuals approaching retirement age, and when planning for potential cognitive decline. It is also important for those with complex medical conditions or who travel frequently away from family. The directive becomes essential if an unexpected emergency occurs that impairs your ability to communicate. In each circumstance, having documented preferences and an appointed agent facilitates timely, values-aligned decisions and reduces stress for family members who might otherwise face uncertainty under pressure.
Before undergoing surgery, having an Advance Health Care Directive and a HIPAA authorization ensures that the people you designate can communicate with medical staff and make urgent decisions if complications arise. Even routine procedures carry small risks, and prepared documentation prevents delays in treatment and clarifies preferences about interventions like blood transfusions or life support. Sharing your directive with your surgeon and hospital prior to admission helps ensure the medical team is aware of your wishes and that your appointed agent can act promptly if circumstances require surrogate decision-making.
For individuals with progressive or chronic illnesses, an Advance Health Care Directive provides a framework for future medical decision-making as conditions evolve. Documenting preferences regarding life-sustaining treatments, comfort care, and palliative approaches helps guide clinicians and family members through complex choices. Regularly reviewing the directive with health care providers ensures it remains aligned with prognosis and care goals. Naming a health care agent familiar with your values ensures continuity of care and reduces anxiety by clarifying who will advocate for your wishes when you are unable to do so.
As people age, planning for possible incapacity becomes increasingly important. An Advance Health Care Directive protects your autonomy by designating decision-making authority and specifying treatment preferences before cognitive decline or health crises occur. Paired with a financial power of attorney and trust documents, the directive is a component of a broader plan that addresses medical care, finances, and asset management. This foresight prevents the need for court-appointed guardians or conservators and helps ensure that your wishes guide care and household arrangements in later life.
The Law Offices of Robert P. Bergman assists Black Point-Green Point residents in preparing Advance Health Care Directives that reflect individual values and meet California legal requirements. We help clients choose and document the right decision-makers, draft clear treatment preferences, and coordinate HIPAA authorizations and related estate planning documents. Guidance includes reviewing potential scenarios, naming alternates, and advising on distribution of signed copies to medical providers and family. Our goal is to make sure your medical wishes are known and accessible, providing reassurance to you and those you appoint to act on your behalf.
Clients in Marin County choose the Law Offices of Robert P. Bergman for clear communication, careful document preparation, and practical guidance on coordinating health care directives with broader estate plans. We work to ensure that Advance Health Care Directives are tailored to personal values, legally effective in California, and integrated with HIPAA releases and financial powers of attorney. Our focus is on making the process straightforward so that clients feel confident their medical wishes will be followed by appointed agents and medical professionals when needed.
Our process includes discussing your priorities, assisting in the selection of a trusted health care agent, and drafting language that avoids ambiguity. We also counsel clients on how to communicate their wishes to family and medical providers, and we provide practical steps for storing and distributing signed documents. For clients with additional planning needs, we help coordinate trusts, wills, and guardianship nominations to provide a consistent and comprehensive approach to both medical and financial decision-making.
Clients appreciate direct access to knowledgeable guidance, responsive service, and documents that are prepared with attention to detail. We help ensure that HIPAA authorizations accompany directives so designated agents can obtain records and coordinate care. By taking a personalized approach, we assist individuals and families in creating plans that reduce stress during medical emergencies and protect personal wishes, while making sure all documents conform to California statutes and practical medical settings.
Our process begins with a consultation to discuss health care goals, values, and preferred decision-makers. We then draft an Advance Health Care Directive and HIPAA authorization tailored to your wishes and consistent with California law. After reviewing the documents with you and making any necessary revisions, we assist with proper signing and witnessing so the directive is valid and readily accepted by medical facilities. We also provide guidance on distributing copies, storing originals, and reviewing documents periodically to reflect life changes or new medical developments.
During the initial consultation, we discuss your goals for medical care, any specific wishes about life-sustaining treatment, and potential choices for a health care agent. This conversation helps us draft language that accurately reflects your preferences and anticipates likely medical scenarios. We also consider related documents such as a HIPAA authorization and financial power of attorney to ensure coordinated planning. The consultation provides an opportunity to ask questions about how directives operate within medical settings and to clarify practical steps for sharing and updating documents.
We guide clients through conversations about goals of care, pain management, and acceptable treatments in different stages of illness. These discussions focus on outcomes and quality-of-life considerations rather than technical medical procedures alone, making it easier to translate values into directive language. We help identify scenarios where comfort-focused care is preferred versus situations where more aggressive measures might be desired. Documenting these preferences clearly supports better alignment between your wishes and clinical decision-making when you cannot speak for yourself.
Choosing a health care agent involves evaluating trust, communication ability, and proximity to your medical providers. We advise on naming alternates in case the primary agent is unavailable and suggest how to communicate expectations to those you appoint. We also discuss the scope of authority you intend to grant, including any limits or specific instructions. Having these details addressed up front reduces confusion later and ensures the person you appoint can act confidently and in accordance with your stated wishes.
Once preferences and agents are identified, we prepare the Advance Health Care Directive and related HIPAA authorization using clear, legally compliant language. Drafting focuses on expressing goals of care and specific instructions so that medical teams and agents understand your intent. We coordinate the directive with any existing estate planning documents to avoid inconsistencies. After drafting, we review the documents with you, propose any refinements, and ensure that the paperwork is ready for proper execution under California signing and witnessing requirements.
A HIPAA authorization accompanies the directive to permit designated individuals to access medical records and communicate with providers. We prepare this authorization alongside the directive and recommend distributing copies to medical providers and your agent. Supporting forms may include organ donation preferences, DNR orders where appropriate, and written notes to clarify specific treatment preferences. Coordinating these items ensures that information flows smoothly among health care teams, your agent, and family members when decisions must be made.
We ensure the Advance Health Care Directive aligns with your broader estate plan, including any revocable living trust, pour-over will, powers of attorney, and guardianship nominations. This coordination avoids conflicting instructions and provides a single, coherent plan covering health care and financial matters. We also advise on distribution of copies and how to keep documents current as circumstances change. The goal is to create ease of administration and confidence that appointed agents and caregivers can implement your wishes without legal uncertainty.
After finalizing the directive, we assist with proper execution, including required signatures and witnesses, to ensure acceptance by hospitals and other care facilities. We help you distribute copies to your health care agent, alternates, primary care physician, and family members. We also recommend periodic review, particularly after major life events or changes in health, to keep the directive up to date. Ongoing accessibility and periodic updates ensure the document remains effective and accurately reflects your preferences over time.
California law has specific requirements for signing Advance Health Care Directives, and proper witnessing or notarization helps ensure acceptance by medical facilities. We guide clients through the execution process, making sure witnesses meet statutory criteria and the document includes any necessary acknowledgments. Proper execution prevents disputes about validity and makes it easier for your agent and providers to rely on the document. We also advise on where to keep the original and how to provide certified copies when requested by institutions.
After execution, share the directive with your appointed agent, alternates, physician, and close family members so they understand your wishes and can locate the document when needed. Keep the original in a secure but accessible place and provide certified or plain copies to medical providers and institutions. Review the directive periodically, especially after health changes, new diagnoses, or shifts in personal relationships, and update as needed. Regular maintenance ensures the directive continues to reflect your values and can be implemented without delay.
An Advance Health Care Directive is a legal document that communicates your medical treatment preferences and appoints a person to make health care decisions if you cannot do so. It typically covers choices about life-sustaining treatment, resuscitation, artificial nutrition, and pain management, and it specifies who should speak for you when you lack capacity. Having a directive helps ensure that your values guide medical decisions and reduces uncertainty for family and clinicians during stressful situations. Preparing a directive early allows you to clearly express preferences before a crisis occurs and to name a trusted decision-maker. It should be shared with your appointed agent, primary care physician, and close family members. Including a HIPAA authorization ensures designated people can access medical records to make informed decisions. Regular review and distribution of copies help maintain the document’s effectiveness over time.
Choosing a health care agent involves picking someone you trust to honor your medical preferences, communicate with providers, and make decisions under pressure. This person should understand your values, be available when needed, and be willing to act on your behalf. Naming alternates provides backup if the primary agent is unavailable. Discussing likely scenarios and your treatment priorities with the person you choose helps ensure they feel prepared and confident in carrying out your wishes. When you appoint an agent, give them written guidance and talk through specific preferences for interventions such as resuscitation, ventilation, and feeding tubes. Explain your thoughts on quality of life and comfort care. Make sure your agent knows where to find the original directive and any supporting documents like HIPAA releases, and provide contact information for relevant medical providers so the agent can access records and coordinate care quickly if needed.
An Advance Health Care Directive sets out your medical treatment preferences and names a decision-maker to act if you are unable to make choices yourself. A HIPAA authorization, by contrast, is a privacy release that allows designated individuals to obtain your medical records and communicate with health care providers. Together, they ensure that agents not only have authority to make decisions but also have the information necessary to make informed choices on your behalf. Without a HIPAA authorization, privacy rules can inhibit communication and access to records, creating obstacles for your appointed agent. Including both documents in your planning provides a practical combination: the directive expresses wishes and confers decision-making authority, while the HIPAA authorization gives your agent the legal ability to review medical information and manage communications with clinicians and institutions.
Yes, you can place limits or conditions on the authority you grant your health care agent. The Advance Health Care Directive can include specific instructions about treatments you wish to accept or decline, and it can restrict the agent’s discretion in certain areas. For example, you might authorize the agent to make most decisions but explicitly prohibit certain interventions. Clear, detailed language helps ensure your intent is honored and reduces the risk of misinterpretation by medical staff or family members. When limiting an agent’s authority, communicate these boundaries to the person you appoint so they understand and agree to the role. Also consider naming alternates and ensuring supporting documents such as a HIPAA authorization are aligned with those limits. Proper drafting prevents confusion and helps health care providers follow your instructions accurately when decisions must be made.
It is advisable to review your Advance Health Care Directive periodically and after major life events, such as changes in health, marriage, divorce, or the death or relocation of an appointed agent. Medical circumstances and personal values can evolve over time, and a review ensures that the document continues to reflect your preferences. Regular reassessment also provides an opportunity to verify that copies are distributed to the right people and that your medical providers have current information. If you decide changes are necessary, you can update the directive by drafting a new document and following California’s execution requirements, or by adding an amendment where permitted. Be sure to destroy older versions and inform your agent, alternates, and medical providers of any updates to avoid confusion or reliance on outdated instructions.
Hospitals and doctors generally follow a valid Advance Health Care Directive, particularly when it is properly executed and accessible. Medical providers rely on clear documentation and the authority of the appointed agent to guide care. Some facilities have internal protocols for honoring directives, and having the document on file at the treating institution can facilitate implementation. Including a HIPAA authorization helps ensure the agent can obtain records and coordinate with the care team when decisions arise. Occasionally, disputes or uncertainty about interpretation can arise, in which case open communication between the agent and medical staff is important. If conflicts persist, legal or institutional processes may be required to resolve them. Thoughtful drafting, clear documentation, and early communication with clinicians reduce the likelihood of challenges when your directive needs to be acted upon.
If you become incapacitated without an Advance Health Care Directive, decision-making may fall to family members or to a court-appointed guardian, and there can be delays or disagreements about appropriate care. Lacking clear instructions and an appointed agent increases the possibility of conflict and may lead to medical interventions that do not reflect your wishes. In some situations, hospitals may rely on default decision-making hierarchies that vary by facility and state law, which can create unpredictable outcomes. To avoid these risks, creating a directive and naming a health care agent ensures decisions will reflect your preferences. Preparing a HIPAA authorization at the same time enables designated persons to access medical information and act promptly. Advance planning reduces stress for loved ones and helps ensure that your values guide medical care if you cannot speak for yourself.
Yes, you can revoke or change your Advance Health Care Directive at any time while you have capacity. California law permits revocation by executing a new directive, producing a signed written revocation, or by destroying the original document with the intention of revoking it. It is important to notify your appointed agent, alternates, and medical providers of any revocation or changes so they do not rely on outdated instructions during a medical emergency. When you create a new directive, provide copies to relevant parties and replace the old document in medical records if possible. Keeping the most current version accessible and ensuring that medical facilities and your agent have updated copies reduces the chance of reliance on superseded documents and ensures that your current wishes are followed.
Yes, coordinating your Advance Health Care Directive with your will, trust, and powers of attorney helps ensure consistency across your estate plan. While a will or trust addresses asset distribution and guardianship, the Advance Health Care Directive specifically governs medical decision-making. Ensuring these documents do not contain conflicting provisions and that they reference the same appointed decision-makers where appropriate prevents confusion and streamlines administration during times of incapacity or after death. Coordination also extends to practical matters like who receives copies of documents and how they are stored. Including HIPAA authorizations and clear custodial instructions for originals supports seamless access and implementation. Periodic reviews of all estate planning documents together help maintain alignment as circumstances and legal requirements change.
You are not required to use a lawyer to prepare an Advance Health Care Directive, but legal guidance can help ensure the document is clearly drafted and complies with California formalities. Lawyers can assist with integrating the directive into a broader estate plan, advising on language to avoid ambiguity, and helping coordinate HIPAA releases and powers of attorney for a cohesive approach. Professional assistance can be particularly valuable when medical or family situations are complex or when you want to ensure documents will be accepted by hospitals and clinics. For straightforward cases, preprinted forms can be used, but they may not address specific preferences or interactions with other estate planning instruments. If you choose to prepare your own directive, review it carefully, share it with your appointed agent and medical providers, and consider having a lawyer review the documents to confirm enforceability and coordination with your overall plan.
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