Until you've digitally signed your advance care plan, no information about you is available to anyone, including a hospital. Once you have completed the electronic signature process, your digital advance care plan, HIPAA Authorization Form, and Summary for Physicians can be viewed and downloaded by an authorized medical facility. Nobody can change any information in the file except you. Medical facilities can search and print your records either because you're being admitted to a facility and you ask them to, or because you are determined to be incompetent or can't make and communicate your wishes, and the admitting staff person, nurse, or doctor searches the MyDirectives database for your digital advance care plan.