BHN does not give medical advice, ALWAYS speak with your provider before making medical decisions. Information on this website is for educational purposes only.

What is Advance Care Planning?

Advance Care Planning (ACP) is the process of thinking about, discussing, and documenting what matters to you in your healthcare — especially in situations where you may not be able to speak for yourself.

What Advance Care Planning is

Advance Care Planning is more than filling out forms. It’s an ongoing conversation about what matters most to you: your values, your priorities, and the kind of care you would want in different situations.

ACP often includes choosing a healthcare agent, completing documents like a healthcare proxy or advance directive, and talking with your loved ones and medical team about your wishes.

It’s helpful for every adult — regardless of age or health — because unexpected situations can happen at any time. ACP gives your care team clear guidance and reduces stress for the people who may need to speak on your behalf.

Common Terms and Definitions

  • Advance Care Planning (ACP)
    The process of thinking about and documenting your healthcare preferences.
  • Healthcare Proxy / Healthcare Agent
    The person you choose to make medical decisions if you cannot.
  • Advance Directive
    A legal document that may include your healthcare proxy and written care preferences.
  • Living Will
    A document that outlines your wishes for specific medical treatments if you cannot speak for yourself.
  • Goals of Care
    What matters most to you in your healthcare — comfort, independence, longevity, quality of life, etc.
  • Life‑Sustaining Treatment
    Treatments that help keep you alive, such as ventilators, feeding tubes, or dialysis.
  • POLST / MOLST
    Medical orders (not legal documents) used for people with serious illness to outline specific treatment preferences.
  • Capacity
    Your ability to understand information and make your own decisions.

Common forms associated with advance care planning

Advance Care Planning often includes a few key documents that work together to communicate your wishes and ensure your care reflects your values. Not everyone will need every form, but understanding what each one does can help you choose what’s right for you.

  • Advance Directive (Umbrella Document)
    An Advance Directive is a broad document that outlines your healthcare preferences and may include both a Healthcare Proxy and a Living Will. It helps your medical team and loved ones understand your values and who should speak for you. These forms are available through your state’s Department of Health, hospital websites, or national resources like Five Wishes.
  • Healthcare Proxy (Part of an Advance Directive)
    A Healthcare Proxy names the person who can make medical decisions if you cannot. It gives your chosen agent legal authority to talk with your medical team and guide decisions based on your wishes. Most states offer a free, official form online, you can find your state's form using our tool.
  • Living Will (Part of an Advance Directive)
    A Living Will describes what types of medical treatments you would or would not want in specific situations, such as life‑support or comfort‑focused care. It provides guidance for your healthcare agent and care team. Many states include this within their Advance Directive.
  • MOLST / POLST (Medical Orders for Life‑Sustaining Treatment)
    These are medical orders — not legal documents — used for people with serious illness or advanced frailty. They translate your treatment preferences into instructions that emergency responders and hospital teams must follow. They must be completed with a clinician.
  • HIPAA Release Form
    A HIPAA release allows your medical team to share information with the people you choose. It ensures your healthcare agent and loved ones can receive updates and participate in conversations about your care. These forms are provided by your medical providers and are often included in new‑patient paperwork.
  • Birth Plan
    A birth plan outlines your preferences for labor, delivery, and immediate postpartum care. While not a legal document, it communicates your wishes regarding pain management, support people, newborn care, and cultural or personal preferences. Templates are available through hospitals, midwives, and childbirth education programs.

Advance care planning in action

  • Example of when an Advance Directive and a HIPAA Release Form is used:
    Maria is 42 and preparing for a planned surgery. She completes an Advance Directive, which includes naming her sister as her Healthcare Proxy and outlining her treatment preferences in a Living Will. She also signs a HIPAA Release Form that allows her medical team to share information with both her sister and her partner. After surgery, Maria becomes temporarily unable to communicate. Because she has an Advance Directive, her sister is legally recognized as the decision‑maker. Because she also signed a HIPAA Release Form, the medical team can share updates with both her sister and her partner. The Advance Directive determines who makes decisions, while the HIPAA Release determines who can receive information.
  • Example of when a MOLST is used:
    When James, an 84‑year‑old with advanced heart failure, decides to transition home on hospice, his doctor completes a MOLST with him before discharge, documenting his wishes for no CPR, no intubation, no hospital readmissions, and comfort‑focused care. During the ambulance ride home, James becomes short of breath. Because the MOLST is a medical order that travels with him, the EMTs review it immediately and follow it exactly as written. Instead of returning him to the hospital or starting aggressive treatments, they provide comfort‑focused care in the ambulance and continue the plan to bring him home, where hospice is waiting.
  • Example of when a Birth plan is used:
    Taylor is 29 and expecting her first baby. She creates a Birth Plan with her midwife outlining her preferences for labor, pain management, support people, and newborn care. During labor, Taylor becomes focused on the physical act of giving birth, she is unable to make clear decisions. Her Birth Plan helps the medical team understand her wishes and guides decisions so Taylor can focus on labor.