Advance Health Care Directive

Drafts a state-compliant AHCD that appoints health care agents, resolves the HIPAA access gap, and records clinically usable treatment preferences — optimized for real-world acceptance by hospitals and providers under time pressure.

Prerequisites

1. Jurisdiction — client's state of residence + any secondary-care states; portability needs
2. Client identity — full legal name, DOB, address, prior names (for medical record matching)
3. Capacity context — any cognitive diagnoses or concerns; flag for attorney if borderline
4. Existing documents — prior AHCDs, living wills, DNR/POLST, organ donor registrations, POAs, estate plans, guardianship orders
5. Agent details — for each agent/alternate: name, relationship, address, phone, email, availability, willingness; confirm no facility-employee conflicts
6. Incapacity trigger choice — springing (upon clinical determination) vs. immediate
7. Treatment preferences — CPR, ventilation, artificial nutrition/hydration, dialysis, antibiotics, hospitalization vs. comfort care, palliative sedation, religious constraints
8. Organ donation / disposition — organs/tissues, purposes (transplant/research/education), registry status, autopsy preferences, disposition of remains
9. Execution logistics — notary access, qualified witnesses, execution location; SNF patient status

If any prerequisite is missing, pause and ask — do not assume or fill gaps.

Output Structure