After you have consulted your doctor and discussed the medical decisions that might need to be made by your chosen proxy, you have to sign a legal form with the relevant details. While a lawyer would be helpful, one is not really needed for this purpose, especially with respect to understanding the various medical treatments that your doctor can help you with. Some states require your advance senior care to be witnessed; some want your signature notarized (i.e. witnessed by a notary, an individual licensed to do so by the state). Your insurance agent, local library, post office or bank could help you find a notary. You might need to pay a fee to certain notaries. If you tend to travel from state to state visiting relatives or friends, you might need to make advance senior cares for each state using the forms relevant to the state.
You must inform key people about the existence of your advance memory care, including your healthcare proxy and the alternative proxy who must be given copies. Your doctor, family members and friends must also have access to copies. If you are hospitalized, hand a copy to the hospital staff to file with your records. Keep track of who has a copy of the document; this will be especially helpful as your directive could change from time to time. Review it periodically, say, once in ten years and make changes as and you may consider fit.