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Yes, your health care directives should be re-written to request an autopsy once you pass, otherwise, your family could refuse one. Please click ACCEPT so I can get credit for helping you. We can continue our conversation after this at no additional charge. Thanks!
You can add an addendum which says the original directive remains in full force and effect and you are incorporating the addendum to the original.
We are able to talk here, but I can't talk with you on the phone. That would be actual representation and Justanswer will not allow it. Health Directives don't need to be "filed" anywhere, but you should give your doctor(s) a copy and you should also give any next of kin a copy. If not, they may not know what you want and may not think to look for something if you get sick and need medical care.