SHARING ChoicesSHARING Choices integrates communication strategies that have been individually found to be effective but thus far been deployed in isolation of one another. Components include: 1) a letter from the primary care clinic introducing a new initiative to improve communication with older adults,18 2.) a person-family agenda-setting checklist to align patient and family perspectives regarding the role of the family member in primary care interactions and stimulate interest in ACP,19,20 3.) ongoing access to a facilitator trained to lead ACP conversations to overcome barriers related to time and expertise in primary care,21 and 4.) facilitated registration for the patient portal (for patient and family) to enable and extend electronic interactions and information access to family caregivers.22,23