This is the person you select and trust to know what matters most to you, who understands and will follow your preferences and wishes for the medical treatment and outcomes you would or would not want, and who can make decisions in difficult situations. The Appointment of Health Care Representative is one of the principle types of advance directives.
Click here to download the Appointment of My Health Care Representative form.

This advance directive lets you state your wishes regarding the kind of healthcare treatment you wish to receive – or not receive. It can also indicate the outcomes you would – or would not – accept as a result of that treatment. A Living Will guides loved ones and healthcare professionals in making treatment decisions consistent with your goals, values, beliefs and preferences.

You do not need an attorney to create your advance directives, but sometimes it takes a little help to get the conversation started. Our trained and compassionate ACP facilitators can help you think about what matters most and create thoughtful advance directives that clearly express your preferences for future medical care. All ACP services are free. You can also find helpful resources and forms by clicking on these links:

• Conversation Cues
• Appointment of My Health Care Representative form
• Being Prepared in the Time of Covid-19
• The Conversation Project Starter Kit