Where to Store Your Advance Directive in South Carolina

An advance directive nobody can find in an emergency is functionally the same as not having one. South Carolina has no mandatory state filing requirement for advance directives, so the responsibility for making documents accessible falls entirely on you and your family.

The goal is redundancy — multiple copies in multiple locations, so that at least one is accessible no matter how the emergency unfolds.

The South Carolina eRegistry

The South Carolina Care for the Seriously Ill (CSI) Coalition operates the My Life My Choices eRegistry — a secure, HIPAA-compliant online portal where you can register your POST form and Healthcare Power of Attorney for electronic retrieval by emergency responders and hospital systems.

This is the closest thing South Carolina has to a statewide advance directive registry. The eRegistry can make registered documents and treatment orders available electronically to emergency responders and hospital systems, reducing reliance on paper copies.

Registration is free. Upload your documents through the My Life My Choices portal after execution.

Essential Storage Locations

Your healthcare agent and successor agent should each have a complete copy of all documents — the Healthcare Power of Attorney, Living Will, HIPAA release, and any POST or DNR forms. They may need to present these documents at 2 AM in an ER they've never visited. Store copies both digitally (email or cloud storage they can access from their phone) and in hard copy.

Your primary care physician's office should have copies on file. When you're hospitalized, the admitting team often contacts your PCP for medical history — having the advance directive already in your PCP's records ensures it gets transferred to the hospital chart.

Your local hospital system — file copies with the medical records department of the hospitals you're most likely to be taken to. Many South Carolina hospital systems accept advance directives through patient portals like MyChart, making them immediately visible to any provider in that system.

A fireproof home safe for original documents. Not a safe deposit box — boxes are often sealed when the owner becomes incapacitated or dies, making the documents inaccessible during the exact period they're most needed. If you use an attorney, keeping originals with them is another option.

The Wallet Card

A wallet card is a practical companion to your advance directive. It doesn't contain your full directive — it identifies that you have one and provides contact information for your healthcare agent and the location of the full documents.

Keep the wallet card in your physical wallet or purse. If you're in an accident, it alerts first responders and ER staff to look for your advance directive and contact your healthcare agent.

Digital Copies and Cloud Storage

Digital copies ensure accessibility when physical documents aren't available:

• Email a copy to yourself with a clear subject line like "Advance Directive — do not delete." You or your agent can search for it from any phone.
• Share via cloud storage (Google Drive, iCloud, Dropbox) with your healthcare agent and close family members.
• Save a photo of each page on your phone in an easily accessible album or notes app.

Digital copies improve accessibility when physical documents aren't available. South Carolina expressly recognizes a copy, facsimile, or electronic version of a completed POST form as legal; for other directives, keep the executed original accessible and confirm each provider's copy requirements.

What Not to Do

Don't store the only copy in a safe deposit box. Access may be restricted when the owner becomes incapacitated or dies, so your healthcare agent may not be able to retrieve the document when it's needed.

Don't keep only one copy. If it's lost, damaged, or inaccessible, you have no backup. Distribute widely.

Don't forget to update distribution when you revoke and replace. If you execute a new advance directive, every person and facility holding the old version needs the updated one. A document distribution tracker makes this manageable.

Don't assume the hospital will ask. While the Patient Self-Determination Act requires hospitals to ask about advance directives at admission, this doesn't always happen — especially in emergency admissions. Proactively file copies with your local hospitals rather than waiting to be asked.

The South Carolina Advance Directive & Living Will Kit includes a document distribution tracker that records who has copies, when they were distributed, and prompts you to update recipients when documents change.

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