; or (ii) a statute or regulation of the applicable State that provides for a specific procedure for officially determining whether particular advance directive forms comply with State law. (3) Statement For purposes of paragraph (1)(A), the statement included in this paragraph is the following statement, with appropriate insertions in the bracketed segments updated at least annually: WHY YOU MAY WANT TO CONSIDER AN ADVANCE DIRECTIVE Do you ever worry what would happen if you became unable to make health care decisions for yourself because of an illness or injury? Do you hold certain values and beliefs with respect to your medical treatment that you would want to be upheld if you were unable to convey them yourself? That’s what an advance directive is for. You can use it to give directions for your health care providers and family about your health care wishes that are to be followed if you are no longer able to speak for yourself. You can also name someone you trust, like a family member or friend, to give health care directions for you when you can’t do so yourself. You should consider carefully who to choose to speak for you and what directions you want to give to ensure your representative clearly reflects your own values and treatment preferences. You should not feel pressured to violate your own values and preferences, and you are entitled to implement them without discrimination based on age or degree of disability. There are many resources to help you. By choosing the name of a State at [INSERT name of webpage for the index provided in paragraph 4 of this subsection and its URL (and, on the clearinghouse website, include a hyperlink to it)], you can find sample advance directives for that State. You can see any sample or required forms given in State law, as well as others from individuals or groups with different viewpoints on advance health care decisions which you may wish to review before completing your own advance directive. Below is contact information for the accredited vendor in your State who