My Advance Care Plan (MAP)

This document provides a structured approach for recording important personal and financial information. Think of it as your MAP - your personal guide to help you decide your wishes. This document will help you to:

Clarify your thoughts and wishes.
A. Who would you want to speak for you if you can't speak for yourself?
B. How do you feel about artificial means prolonging your life?
C. What does "quality of life" mean to you?

Organize your health care MAP and personal information by putting them in writing – ensuring that your "travel" choices are known.
A. Keep your important papers together, and inform your family where they are kept.
B. Provide copies to your family, Health Care Power(s) of Attorney and your doctor(s).

Discuss your MAP with loved ones.
A. Inform your health care providers/doctors of your chosen path.
B. Have an in-depth and ongoing conversation with your family and friends.
C. Be specific regarding your wishes with your appointed Health Care Power of Attorney.

Advance Directive for North Carolina Health Care Power of Attorney.jpg


This legal document allows you to appoint up to 3 individuals to speak on your behalf if you cannot speak for yourself. The order in which you name the individuals determines who will be the primary spokesperson for you. This document must also be signed in the presence of a Notary Public and two witnesses. (This document only addresses power over health care issues.) Any person with decision making capacity age 18 or older may complete one. The ability of your appointed Health Care Power of Attorney to make decisions for you only occurs if you do not have the capacity to make decisions.



The NCLW discusses artificial feedings, nutrition and extraordinary means (ventilator support) if you cannot maintain life naturally. This document must be signed by you in the presence of a Notary Public and two witnesses in order to be valid. Any person 18 or older that has ability to make decisions can complete a NCLW. Creating a NCLW does not prevent you from speaking for your yourself as long as you have the capacity to do so.