Wash. Rev. Code § 71.32.150

Compliance with directive — Conditions for noncompliance

Health care providers, professionals, facilities, and their agents must place a person’s mental health advanced directive in their medical record. An individual or entity that receives a mental health advanced directive will be regarded as having actual knowledge of the directive’s contents.

A provider, professional, or facility does not need to comply with an advanced directive if compliance with a mental health advanced directive would (1) result in a violation of the standard of care, result in a law violation; (2) place a person’s health or life in danger during an emergency situation; or (3) in the event of an involuntary commitment, result in treatment inconsistent with the purpose for the involuntary commitment. If one of these situations arises, the appropriate individual or entity must document the reason for non-compliance in the patient’s medical record.