Our Hospital's ACP Overview

1. Adults aged 18 or older with a National Health Insurance IC card 2. Possess full legal capacity and mental competence 3. Receive this consultation service as a self‑pay outpatient

Appointments are scheduled with a dedicated staff member; self‑pay outpatient sessions are on Wednesday afternoons

1. The person intending to sign must first call; if they are hospitalized, medical staff will assist with the referral. 2. By phone, in person, or at the ward, provide an initial explanation of the advance medical decision, highlight precautions, and confirm the individual's intent before scheduling the consultation. 3. Arrive at the designated time to the consultation room or ward to sign the Advance Directive (hereafter referred to as AD).

Monday to Friday, 08:00‑12:00 and 13:30‑17:00

07-7495911; 07-7496751 ext. 726715

Individual consultation fee (60 minutes): NT$3,000; additional 30 minutes: NT$500; for the second participant onward: NT$2,000; additional 30 minutes for second onward: NT$500; if the completed consultation is returned for registration verification and scanned upload after more than 3 months, a fee of NT$200 applies.

Hospital staff, military/police/fire personnel, veterans and their immediate family members (limited to first‑degree relatives), and hospital volunteers themselves

Individuals with full legal capacity who meet any of the following conditions: 1. Patients aged 65 or older with major illnesses or injuries; 2. Those eligible for hospice/palliative care enrollment; 3. Mild dementia (Clinical Dementia Rating 0.5–1); 4. Diseases listed in Article 14, Paragraph 1, Item 5 of the Patient Rights Act; 5. Cases under the Home Medical Care Integration Program; 6. Patients aged 65 or older with multiple chronic diseases enrolled in a family physician integrated care plan or regional hospital comprehensive community program.

1. The individual and accompanying relatives or witnesses must present ID and NHI card. 2. Team members will explain matters related to the Advance Directive (AD) to ensure the individual understands its content and reduces gaps between expectations and reality. 3. After the consultation, present the receipt to make payment.

Must be an adult aged 18 or older with full legal capacity

At least one relative within the second degree of kinship. Second‑degree blood or in‑law relatives, excluding the spouse, include: children, parents, siblings, grandchildren/step‑grandchildren, grandparents/step‑grandparents, parents‑in‑law, son‑in‑law/daughter‑in‑law, sister‑in‑law/brother‑in‑law, brother‑in‑law/sister‑in‑law, and co‑siblings‑in‑law. If there is a Health Care Agent (HCA), they should participate in the advance care planning consultation. The designated participant must be disclosed to the responsible staff; any changes must be reported in advance.

Anyone with full legal capacity may serve as a witness; they do not need to be a family member. The witness’s role is to observe the individual personally signing the Advance Directive (AD); it is acceptable if the witness does not fully understand the AD content, and they are not acting as a guarantor. The following persons cannot serve as witnesses: 1. Individuals lacking full legal capacity (e.g., those under guardianship or assisted decision‑making). 2. Health Care Agents. 3. Medical staff primarily responsible for the patient’s care during hospitalization. 4. Persons who would benefit from the individual’s death, other than heirs.

Refers to a person who, upon written authorization from the individual, represents the individual’s wishes when the individual is unconscious or unable to express preferences clearly. The agent must meet the following criteria: 1. Possess full legal capacity. 2. Not be a legatee of the individual (excluding the individual’s heirs). 3. Not be a designated recipient of the individual’s body or organs (excluding heirs). 4. Not be any other person who would benefit from the individual’s death (excluding heirs). Agent’s authority: 1. Receive information about the patient’s condition, treatment plan, procedures, medications, prognosis, and possible adverse reactions. 2. Provide consent for surgeries, invasive examinations, or treatments as required by the central authority. 3. Express the patient’s medical wishes in accordance with the content of the patient’s Advance Directive (AD).

During the consultation, the hospital will assess whether the individual meets the full legal capacity requirements stipulated by the Patient Rights Act. Regardless of whether the AD is later certified, the consultation fee must be paid.

After the consultation, the medical institution must certify the AD before it can be signed, indicating the individual’s wishes to receive or refuse life‑sustaining treatment, artificial nutrition, and fluid feeding under any of the five legally defined clinical conditions. The AD must be notarized or witnessed by two persons, then uploaded by the medical institution to the Ministry of Health and Welfare’s information system and finally recorded on the NHI card to complete the signing process. If the AD is signed on site with two witnesses present, it can be scanned and uploaded directly. If the AD is incomplete—for example, selections require a Health Care Agent but the agency document is missing, or a witness is absent—have the individual complete the certified AD at home and then return it to the hospital for scanning and uploading (please call in advance; if more than three months have passed, an additional upload fee applies). Within approximately 3–7 business days, the information will be recorded on the NHI IC card.

When a serious illness occurs, once two relevant specialists confirm that one of the five statutory clinical conditions is met and the palliative care team has conducted two assessments, the Advance Directive can be activated.

Must follow the procedures stipulated by the competent authority and return to the medical institution to process.