Answer one question. →
Sage asks something simple, like "What's one small thing in your day that still feels like you?" You answer in your own words, by voice or text. That's the start.
Most families mean to have this conversation. Most never do. CareGoals turns the hard talk into a series of short AI-guided sessions — no forms, no legal jargon. A physician reviews every directive and signs off. What you end up with is a legally valid document and something rarer: a record of what your family actually believes, in their own words, that you can share with everyone who needs to know.
CareGoals is the conversation. The rest of the network does the work that used to feel impossible — physician approval, secure storage, and a copy you actually own. You don't see the bureaucracy. It's just done.
You're here. Short, friendly conversations build the document — directive, MOLST, or POLST — in your own words. Fifteen minutes at a time.
A licensed physician reviews and signs the directive. Safe agentics handle the paperwork around it — filing, retrieval, follow-ups. You don't see the friction.
The signed directive rides inside your ComfortCard — the Apple Wallet health-identity card the ER, your family, and any clinician can scan in 90 seconds.
Save the conversation, the directive, and every linked record to your own hard drive. Encrypted, sovereign, yours forever — so the document belongs to you, not a vendor.
CareGoals works differently than anything else that calls itself an advance directive tool. It doesn't ask you to fill in a legal form. It asks you questions, one at a time, and remembers everything you say.
Sage asks something simple, like "What's one small thing in your day that still feels like you?" You answer in your own words, by voice or text. That's the start.
No session is long. No question is required. Over weeks or months, Sage remembers every conversation — and gently goes deeper into the topics you want to explore.
Every conversation builds a shareable one-page PDF any hospital, clinician, or family member can read. Your care wishes, your values, your voice — no form required.
Most advance directives ask about ventilators and feeding tubes. Important, yes. But the conversation that actually helps your family in a hard moment is a different one.
The coffee on the porch. The evening walk. The specific music. The things that make you feel like yourself.
Being outdoors, or being warm. Being surrounded, or being quiet. The shape of daily life you'd want if the choices got harder.
CPR, ventilator, tube feeding, comfort-focused care. The standard legal decisions — captured as conversation, not a checkbox.
Healthcare proxy, decision hierarchy, and what you'd want them to know about the conversations we've already had.
The planning that's hardest to do after the diagnosis and most valuable to have done before. Captured early.
The wisdom. The memories. The messages for grandchildren who aren't born yet. The things that should outlive the dash.
CareGoals captures the wishes. Sometimes the conversation wants to go further: into the philosophy of a good ending, or the deeper map of who you've been. Same warmth. Different territory. These are the upgrade conversations, available when you're ready.
The conversations about meaning, suffering, mortality, and what makes a death feel like one a person could be at peace with. Same Sage. Different territory.
Ikigai, parts work, shadow, strengths, personality topology. The fuller portrait of the person doing the planning — and what their values point toward in the years ahead.
"We sat for three months trying to decide what Mom would have wanted. We argued. We cried. We had absolutely no idea. I don't want my kids to go through that."CareGoals beta user · Boulder, CO
A health system that works for you instead of you working for it. Each piece is its own door, but they share one network — your ComfortCard identity, your physician, your data, your community. Pick the one you need today; the others stay there when you're ready.
Where the directive lives once it's signed.
The connector that runs the whole network. Safe agentics do the administrative work — physician review, signature, filing, retrieval — so you don't have to. A health system that cares does the paperwork for you.
Your CareGoals summary rides inside your ComfortCard — the Apple Wallet health-identity card the ER, your family, and any clinician can scan in 90 seconds. $19/mo or $199/yr.
Save the conversation, the directive, and every linked record to your own machine. Encrypted, sovereign, yours forever — so the document belongs to you, not a vendor.
When the directive opened a door and you want to walk through it.
The conversations about meaning, suffering, and what a person of peace would call a good ending. Same Sage. Different territory.
Ikigai, parts work, shadow, strengths, personality topology. The fuller portrait of the person doing the planning — and what their values point toward in the years ahead.
A cryptographic identity for your health record. So your directive can travel across hospitals, states, and generations without losing its provenance.
For the families, neighborhoods, and operators who want to do this at scale.
Build the worker-owned care grid in your town. CareGoals is one input. Caregivers, neighbors, physicians, and a cooperative that runs on your terms — that's the rest.
The open tutorial. Each piece of the network shown clearly, with what it does and how the parts fit. Read this before you decide which doors to open first.
If you're a wellness brand, gym, or solo operator on a high-deductible plan: AgenticHSA is the wrapper that turns the rest of this stack into a tax-advantaged benefit for you and your team.
If you're caring for an aging parent or spouse — read this.
Someday comes faster than anyone plans. Begin with one question — Sage handles the structure. The harnesshealth.ai connector handles the paperwork. Your ComfortCard handles the storage. You handle the part only you can do: showing up.
Have your first session →15 minutes · physician-attested · stored on your ComfortCard