• This wallet card lets others know how to contact your chosen Health Care Agent during an emergency or if you are able to communicate for yourself. It is also recommended that you keep a list of those who have a copy of your Advance Directive so that you can update them if your situation or decisions change.

    Note: This is not a replacement for the Idaho Secretary of State Health Care Advance Directive Registry. To register with the Secretary of State (and receive the Secretary of State wallet card), you must complete an additional form.

    It is important to track who has copies of your Advance Directive.

    If you make changes to your Advance Directive make sure everyone listed receives the updated version.

  • Copies of these documents are being or have been given to the following organizations and people (e.g. Heath Care Agent(s), health care providers, hospitals, family, friends, and faith community leaders):
  • Please note: we will only use your email to send you the filled out document. We will not send any additional correspondence to your email, unless expressly requested. We also will not share your email with any third party.
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