Sharing access to Health records with family, Agenda setting, and RespectING Choices (SHARING Choices) is a person- and family-centered model that was developed to address barriers to ACP in the primary care context for older adults with and without cognitive impairment. SHARING Choices integrates strategies to normalize and support ACP discussions in mainstream primary care while proactively respecting older adults’ preferences for involving family in primary care interactions. This article describes SHARING Choices and results from a pilot test that was conducted to establish acceptability in primary care in advance of a 3-year pragmatic trial to be launched in 55 primary care clinics in the Baltimore-Washington area.