Sometime ago now I blogged about the importance of empowering clients to prepare additional instructions regarding their wishes that go beyond what traditional boilerplate Advance Health Care Directives and/or Living Wills provisions.   Recently I undertook a significant revision of my additional instructions form to take matters to the next level.  What is the next level?  To me the next level was providing for prompts to encourage regular updates and communication with physicians and/or agents and providing for alternative  directions in the event a spouse is unable or unwilling to exercise discretion regarding end of life. The    If you are an attorney and would like to receive a free copy of these additional instructions please contact me and I will send you a PDF copy.  If I share these additional instructions with you, you agree that by doing so I am not providing legal advice and that by doing so we have not established an attorney-client relationship.