---
title: "Review a hospital agreement for records and advance directives"
url: "https://ailawframework.com/practice/health-and-medical-law/review-a-hospital-or-health-services-agreement/united-states"
type: "task_jurisdiction_version"
site: "AI Law Framework"
id: "A32-T1-R9-US"
practice_area: "Health & Medical Law"
tier: "yellow"
lawyer_review: "required"
jurisdictions: ["US"]
last_reviewed: "2026-10-22"
---

# Review a hospital agreement for records and advance directives

> Extract the clauses on who may receive patient information, how records are requested, and what the agreement says about advance directives. Quote each clause. Do not rewrite the agreement.

Canonical page: https://ailawframework.com/practice/health-and-medical-law/review-a-hospital-or-health-services-agreement/united-states  
Last reviewed: 2026-10-22

Site index for agents: https://ailawframework.com/llms.txt

## Key facts

| Fact | Value |
| --- | --- |
| Practice area | [Health & Medical Law](https://ailawframework.com/practice/health-and-medical-law.md) |
| Human involvement | Yellow: Lawyer and AI draft together |
| How AI is used | Extract the clauses on who may receive patient information, how records are requested, and what the agreement says about advance directives. Quote each clause. Do not rewrite the agreement. |
| What the lawyer must review | You decide whether the agreement meets the duties of the provider who will sign it. 42 CFR § 489.102(a) requires the listed hospitals and other providers to maintain written policies on advance directives and to give adult individuals written information about their rights under state law to make medical decisions, including accepting or refusing treatment and formulating advance directives. 45 CFR § 164.502 limits use and disclosure of protected health information. Formal Opinion 512 applies if the agreement is put into a tool. A missing clause is your point to raise. The tool does not supply replacement wording. |
| Written for | United States |
| Applies to | [Review a hospital or health-services agreement](https://ailawframework.com/practice/health-and-medical-law/review-a-hospital-or-health-services-agreement.md) |

## Checking plan

- What the AI does: Extract the clauses on who may receive patient information, how records are requested, and what the agreement says about advance directives. Quote each clause. Do not rewrite the agreement.
- Basis: Checked against the linked sources on 22 October 2026. Confirm the current instrument before reliance.

## Notes

- Section 489.102 is not itself the advance directive. It requires information about state law.
- Do not treat every health contract as a hospital contract. Read § 489.102(a) for the provider types.

## Sources

- [42 CFR § 489.102 (provider advance-directive requirements)](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-489/subpart-I/section-489.102) (checked 2026-10-22)
- [45 CFR § 164.502 (uses and disclosures of protected health information)](https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164/subpart-E/section-164.502) (checked 2026-10-22)
- [ABA Formal Opinion 512, Generative Artificial Intelligence Tools (29 July 2024)](https://www.americanbar.org/content/dam/aba/administrative/professional_responsibility/ethics-opinions/aba-formal-opinion-512.pdf) (checked 2026-10-22)

## Forms and precedents for this task

| Form or precedent | Kind | AI level | Summary |
| --- | --- | --- | --- |
| [HIPAA business associate agreement checklist](https://ailawframework.com/precedents/health-and-medical-law/us-baa-checklist.md) | Checklist | Yellow | Checklist for the written terms in a HIPAA business associate contract under 45 CFR 164.504(e) and 164.502(e). It is a review list. It is not the contract. |
| [Business associate subcontractor assurance checklist](https://ailawframework.com/precedents/health-and-medical-law/us-subcontractor-assurance.md) | Checklist | Yellow | Checklist for satisfactory assurances when a business associate uses a subcontractor, and for the other arrangements in 45 CFR 164.504(e)(3). It is not the subcontract. |

Signed-in accounts can read the full text of each one.

*Practice guidance for planning and review. Confirm current primary sources and the requirements of the actual matter. This is general information, not legal advice.*