An advance directive may be registered either at the local or state government level, or with a third (3rd) party. Registering is free in most states, sometimes a small fee will be charged. The following four (4) sites are reliable options for online registration:
MedicaAlert.com ($74.99/yr) – A highly dependable 501(c)(3) non-profit organization that has agents available 24/7.
USACPR.com ($99.95 for lifetime membership)
ALWR.com ($15/yr)
DocuBank.com ($55 for 1 year, $175 for 5 years)