Step 4: What Happens Next?

After your health care directive documents are registered, U.S. Living Wills will send you a letter confirming your registration. This letter lists your basic identification and emergency contact information. Please review the information to make sure it is entered into the Registry’s computer database correctly.
In addition, the letter contains peel-off sticky labels. Please put the labels on your insurance cards, driver’s license and any identification cards.
The letter also contains a peel-off wallet card listing your name, registration number, instructions on how to access your documents, and the date your documents were registered or last updated.
Each year, you will get a letter from the Registry asking you to review and update any personal or emergency contact information. The update letter contains new peel-off labels and wallet card.
There is no charge to you for annual update letters, labels, wallet cards, or continued registration in the Registry.
You may send the Registry as many documents as needed at no charge.
To replace, remove, or add a new health care directive document, you must notify the Registry in writing by completing a new Registration Agreement / Authorization to Change form (520 KB PDF).
Your registration agreement will remain in effect until the Registry receives reliable information that you are requesting to terminate the agreement.