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Register your Advance Directives (Voluntades Anticipadas / Instrucciones Previas) in your CCAA

Health card changes have waiting lists. We alert you when a slot opens.

Use this to put in writing which care and treatments you want (or don't) if one day you can't decide. That way your doctor and the hospital can see and respect your decisions across Spain.

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Fuente oficial enlazadaAhorro estimado ~70 min7 documentos clave
Plazo
1–4 semanas
Coste
Gratuito
Complejidad
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Fuente oficial

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  • Prepares your case file and documentation
  • Detects frequent errors before submission
  • Saves your progress and reminds you of deadlines

What the agency does

Salud Pública / CCAA

  • Receives and reviews your application
  • Issues the resolution or official document

Guía completa

What you should have ready
  1. DNI/NIE/pasaporte valid.
  2. Modelo oficial from your CCAA for Instrucciones Previas/Voluntades Anticipadas.
  3. Decide the route: testigos, notario or authorised official.
  4. Representative details (optional but strongly recommended) and their acceptance.
  5. Cl@ve or certificado digital if you’ll do it online (https://clave.gob.es).
  6. Tarjeta sanitaria or your CCAA insurance number.
Documentation
  • Completed and signed directive document.
  • DNI/NIE of you and of witnesses/representative.
  • Representative's acceptance (if you name one).
  • Notarial deed if you used a notario (bring an authorised copy to register).
  • Proof of registration you’ll receive after registering (keep it safe).
Step by step
  1. Download the form from your Servicio de Salud website (called “Registro de Instrucciones Previas”, “Voluntades Anticipadas” or “Voluntades Vitales Anticipadas”, depending on the CCAA).
  2. Fill in and sign the document. Choose modality: 2–3 testigos, notario or funcionario habilitado (the model/CCAA will say which are allowed).
  3. If you go with testigos, have them sign and bring their DNIs. If you use a notario, request a copia autorizada.
  4. Online registration: log into your CCAA register sede with Cl@ve/certificado, start the “Inscripción de Instrucciones Previas” procedure and attach the signed PDF, DNIs and, if applicable, the notarial deed.
  5. In-person registration: go to the authorised point with the document and witnesses or with the notarial deed. Some CCAA require ID in person.
  6. Get the proof of registration and keep it.
  7. After 1–4 semanas, check your health folder or ask at your health centre that it appears and has been uploaded to the Registro Nacional.
Time-savers
  • Name a representative and leave their phone number: it avoids delays in emergencies.
  • Be clear and concise (don’t write a novel). Use the options in the form.
  • Upload legible PDFs and, if the sede allows, combine pages into one file.
  • Share a copy with family and your GP: it speeds things up if there’s confusion.
  • If possible, sign the PDF electronically to avoid extra trips.
Common mistakes that will mess things up
  • Assuming the notario alone is enough: if you don’t register it, systems might not find it.
  • Invalid witnesses (direct relatives or staff treating you): your inscription will be rejected.
  • Forgetting the representative’s acceptance: this can block the registration.
  • Uploading blurry photos: you’ll get a requirement and face weeks of delay.
  • Not checking the upload to the Registro Nacional: on the day it matters, it may not be there.
  1. 1.Go to your Servicio de Salud website and download the form called “Registro de Instrucciones Previas/Voluntades Anticipadas” (some CCAA call it “Voluntades Vitales Anticipadas” or similar).
  2. 2.Decide how you’ll formalise it: sign with 2–3 testigos, sign before a notario, or sign before an authorised public official (rules depend on your CCAA). Fill the document, sign it and get the required signatures/acceptances.
  3. 3.Log in to your CCAA’s Registro de Instrucciones Previas electronic office with Cl@ve or certificado digital (https://clave.gob.es) and submit the inscription request attaching the document and the required DNIs.
  4. 4.If you prefer in person: go to the authorised points (registro sanitario/centro de salud/unidad de voluntades anticipadas of your CCAA) with the document and testigos or with the notarial deed.
  5. 5.Keep the proof of inscription the sede or registro gives you (receipt/registration code).
  6. 6.After 1–4 semanas, check your health folder/medical record to confirm the entry appears and that it has been uploaded to the Registro Nacional (ask at your health centre if you don’t see it).
  • DNI/NIE o pasaporte en vigor (original y copia digital si lo haces online)
  • Documento de Instrucciones Previas/Voluntades Anticipadas firmado (modelo oficial de tu CCAA)
  • Si nombras representante: sus datos y aceptación expresa firmada, con copia de su DNI
  • Si eliges testigos: 2–3 testigos mayores de edad con sus DNI y firmas (normalmente no pueden ser familiares directos ni personal sanitario que te atienda, según CCAA)
  • Si lo haces ante notario: copia autorizada de la escritura de instrucciones previas
  • Tarjeta sanitaria o número de asegurado de tu CCAA (para vincularlo a tu historia clínica)
  • Para tramitación online: Cl@ve/certificado digital (https://clave.gob.es) y los PDFs firmados/escaneados con calidad legible
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Your progress

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  1. Understand
  2. Prepare
  3. Submit
  4. Track

Your next step

1.Go to your Servicio de Salud website and download the form called “Registro de Instrucciones Previas/Voluntades Anticipadas” (some CCAA call it “Voluntades Vitales Anticipadas” or similar).

  • We validate documentation before submission
  • Your progress is saved: continue any time
  • We alert you about deadlines and status changes

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