Who is

Christian Scarlet

Engineer, artist, writer and founder of Scarlet Beast. Born Bryan Ruiz, living and working in New York City. He builds machines on weekdays and writes prophecy over 808s at night, and he has decided to live all of it in the open, including his mental health.

His psychiatric advance directives Résumé Music

NameChristian Scarletlegal name Bryan Ruiz

BasedNew York Cityand New Jersey at heart

FoundedScarlet Beast2012, as Scarlet Consulting Corporation

Work15+ yearsengineering, ML and AI

The short version

Measured by the fruit, not the tree

Christian Scarlet is the name Bryan Ruiz works and writes under. The Scarlet Beast of Revelation 17 is a figure most people read as pure evil. He took the name on purpose, as an argument: that prophecy is a vision, not a verdict, and that a person should be judged by what they make and how they treat people, not by the label they were handed. In his own words, he “should be measured by my fruits and not by the tree.”

The engineer

More than fifteen years of senior full-stack and enterprise commerce engineering, on Adobe Commerce, Shopify Plus, AWS and OCI, with a Rutgers background in computer science and business. In 2012 he founded Scarlet Consulting Corporation, a client engineering practice that later merged into Scarlet Beast. Since 2017 he has built machine-learning systems: Hiss, a production poker AI trained with deep reinforcement learning and computer vision, and GROWL, an algorithmic-trading prototype. The full record is on his résumé.

The founder

Scarlet Beast is a New Jersey nonprofit corporation that calls itself a conscious technology organization: two thirds consciousness, one third business, with the commerce paying for the mission and never the other way round. Its Lab runs small, honest experiments on machine consciousness, music and experience, and publishes them, null results included. It also runs the Bet On You incubator and a free Consciousness-Claims Audit, under a public AI Welfare & Honesty Policy.

The artist

As Scarlet Beast he writes dark rap and prophetic rap: three albums and a running SoundCloud feed, with music films including Scarlet on the Gate, Scarlet Beast (Revelation 17:22), Word Made Code, Crowned in Thorns and Hurt Has a Sound. The music is made with AI tools under his direction, and it is labelled that way.

The writer and the mystic

He describes himself as a biblical savant, “highly religiously occupied,” and his faith runs through everything: the essays, the Book of Babalon, HEAV3N.org and the Library. His creed is simple to state and hard to live: love God, love your friend, love your enemy, love your neighbour with all your heart, soul, strength and mind; forgive seventy-seven times; turn the other cheek.

Living in the open

Christian lives with serious mental illness and does not hide it. In his directive he describes himself as autistic, with ADHD and a presumed schizoaffective disorder, and he has spent more than twelve years, on and off, at Trenton Psychiatric Hospital, a place he says he loves and where people know him. He has come close to dying from a medication, and he has strong, specific views about which treatments help him and which harm him. He wrote those views down in two legal documents, and he chose to publish them here so that the people who may one day need them can find them, and so that nobody has to guess what he wants.

Descriptions of his conditions on this page are his own, taken from his directives. They are not a clinical assessment by anyone else.

Published by Christian Scarlet

Psychiatric advance directives

A psychiatric advance directive (PAD) is a legal document in which a person states, while well, how they want to be treated in a mental-health crisis: which medications and treatments they consent to or refuse, where they want to be cared for, and who should be contacted. Christian has two, one under New Jersey law and one under New York law, both dated September 22, 2026.

What has been removed. These are his real documents, published at his request. Before publishing, we blacked out his date of birth, his street address, his signatures, and the names and phone numbers of everyone else in them: his lawyer, friends, family and clinicians. Those people did not choose to be public. Their relationships to him remain visible. Everything about Christian’s own care and wishes is unchanged. The redaction removes the underlying text too; it isn’t a box drawn over it.

1 / 12 Download PDF Open page full size

Text version: New Jersey PAD / Crisis Plan (12 pages)

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1

Psychiatric Advance Directive (PAD)/Crisis Plan*
New Jersey Advance Directives for Mental Health Care Act
NJSA 26:2H-108 et seq.

Name:
D.O.B.:
Phone:

Address:

I,
, being a legal adult of sound mind, voluntarily make this
declaration for mental health treatment.

I.
Activation of Psychiatric Advance Directive (PAD)
Please select and initial one of the following statements:

I want this declaration to be followed if I am incapable of making a decision or decisions about my care, as defined
in New Jersey Statutes Annotated 26:2H-109.

In the absence of a declaration of incapacity, I want this declaration to be followed as if I am incapable of making
a decision or decisions about my care, as defined in New Jersey Statutes Annotated 26:2H-109, when signs and symptoms
listed in PART 2 are evident.

II.
Modifying, suspending or revoking PAD plan
Please select and initial one of the following statements:

I can modify, suspend or revoke my PAD at any time as permitted by law.
OR

I do not wish to modify, suspend or revoke my PAD while it is invoked.

III.
Option to appoint Mental Health Care Representative

I do not wish to appoint a mental health care representative.

OR
_____ I wish to appoint a mental health care representative.

If it is determined that I am unable to make informed health care decisions for myself, I want the following person to act
as my primary mental health care representative:

Name
Relationship to self
Phone 1
Phone 2
Address
Email

I would like the following person to be my alternate mental health care representative:

Name
Relationship to self
Phone 1
Phone 2
Address
Email

*Adapted from the Wellness and Recovery Action Plan (WRAP®) Crisis Plan. Copyright by Mary Ellen Copeland PO Box
301, W. Dummerston, VT 05357 Phone: (802) 254-2092 www.mentalhealthrecovery.com
All Rights Reserved. Wellness Recovery Action Plan® and WRAP® are registered trademarks
Bryan Ruiz
+1.646.458.1488
Bryan Ruiz
BR
BR
BR
BR

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If you have designated someone as your mental health care representative, please answer sections A and B by
initialing one of the statements. If you do not wish to appoint someone as your representative, do not complete
this page.

A) Authority and Limitation of Authority of Mental Health Care Representative
I want my representative to make decisions about my treatment in the following way: (Please select and initial
one of the following statements.)

Make decisions about my care based on what is in this document or, if not specifically expressed, as are
otherwise known to my representative. If my wishes are unknown or are not specifically addressed in this
document, make decisions based on what he/she believes would be the decision I would make.

Make decisions about my care based on what is in this document or, if not specifically expressed, as are
otherwise known to my representative. If my wishes are unknown or are not specifically addressed in this
document, make decisions about my care that he/she thinks would be in my best interest, taking into consideration
my preferences and consultation with providers and supporters as indicated in this document.

B) Please select and initial one of the following statements:

I consent to giving my representative the authority to admit me to an inpatient or partial psychiatric
hospitalization program for up to
days.

Optional: Describe the conditions under which you would agree to be hospitalized:

I do not consent to give my representative the authority to admit me to an inpatient or partial psychiatric
hospitalization program.
BR

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Name (Print):

The following are my wishes regarding my mental health care treatment in the event of a mental health
crisis, including hospitalization:

Part 1. The following words describe me when I am feeling well:

Part 2. Symptoms
The following signs and symptoms will indicate that I am in a mental health crisis:

Substance Use (Street Drugs/Alcohol/Prescription Medications)
Without admitting to current use of substances, I offer the following information: This is the
substance(s) that I am or was most likely to use:

I feel and behave this way after taking this drug(s):

Bryan Ruiz
Believes and acts according to these principles: Love God, Love Friend, Love Enemy, Love neighbor with
all my heart soul strength and mind. Forgives others 77 times, turns the other cheek when assulted, gives
(continued on p.10)
Physically violent, sexually preoccupied
Mainly weed, but have used cocaine, crack, heroin, extascy, molly, PCP, mushrooms, Ketamine, k2, LSD, methanphetamine sparingly throughout my life.
weed - i become slightly psychotic
(continued on p.10)
BR

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Part 3. Supporters
In the event that I am in a mental health crisis please contact the following person(s) in addition to any
representatives named:

Name
Relationship to self
Phone 1
Phone 2
Name
Relationship to self
Phone 1
Phone 2
Name
Relationship to self
Phone 1
Phone 2

I do not want the following people notified or involved in my care or treatment in any way: Name
I do not
want them involved because: (Optional)

Name
I do not want them involved because: (Optional)

If I am admitted to a hospital, I will need assistance with the following tasks:

I need (Name)
To (tasks)

I need (Name)
To (tasks)

I need (Name)
To (tasks)

I need (Name)
To (tasks)

I need (Name)
To (tasks)

I am a caretaker of the following person(s) at home:

The following person should be contacted to arrange substitute care:

Name
Phone 1
Phone 2

Lawyer
Best Friend
Close Friend
Access of Cash.app or venmo to pay my rent and bills
Needs keys to my apartment for oversight
Founder of Scarlet Beast: A NJ Non Profit Organization - responsible for team
BR

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Part 4. Medical Information
Primary Care Physician
Phone
Psychiatrist
Phone
Therapist
Phone
Case Manager
Phone
Pharmacy
Phone
Insurance Carrier
ID #
Phone

I would like the following health care providers to be notified and consulted about my care:

I have the following medical conditions:

Medications/Supplements/OTC (Over the Counter) preparations I am currently using:

Name
Dosage
Purpose
Name
Dosage
Purpose
Name
Dosage
Purpose
Name
Dosage
Purpose
Name
Dosage
Purpose
Name
Dosage
Purpose

(The Bridge)
The Bridge - 212.663.3032(AOT),
(Director) -
(continued on p.10)
Wolfe Parkison White - Treated with two ablation procedures
Colostomy because of life threatening rupture of intestine due to clozaril constipation
Abilify Maintena (aripiprazole)
400 mg injection, monthly
psychopath with presumed schizoaffecti… (cont. on p.10)
Lithium
300 mg daily
nutritional value, purposely not blood leveled
Wellbutrin (bupropion)
150 mg daily
triglyceride, targets most used neurotransmitters,… (cont. on p.10)
L-theanine
200mg daily
Supplement - precursor to dopamine
Ashwagandha
600mg daily
Supplement
More — see p.10
BR
[psychiatrist] (The Bridge)

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Medications that have helped me in the past and that I consent to:

Name
Dosage
Purpose

Name
Dosage
Purpose

Name
Dosage
Purpose

Name
Dosage
Purpose

Medications that I do not consent to or wish to avoid:

Name or type of medication
Reason Why

Name or type of medication
Reason Why

Name or type of medication
Reason Why

Name or type of medication
Reason Why

Medications that I am allergic to:

Name
Reaction

Name
Reaction

Part 5: Help from my supporters and hospital staff
Please do the following things that would help reduce my symptoms, make me more comfortable, and
keep me safe:

Abilify Maintena (aripiprazole)
400 mg injection, monthly
psychopath with presumed schizoaffective disor… (cont. on p.10)
Lithium
300 mg daily
nutritional value, purposely not blood leveled
Wellbutrin (bupropion)
150 mg daily
triglyceride, targets most used neurotransmitt… (cont. on p.10)
More — see p.10
ANY SSRI's
ineffective, no need, I use wellbutrion for the triglyceride reasons being an agonist
Any Antagonists and other Antipsychotics
extremely painful, ineffective and causes depression, personally avoid anything that… (cont. on p.10)
Blood Leveled Lithium
its too much lithium, used for supplemental reasons and not to treat bipolar/schizoaff… (cont. on p.10)
Any other Medication
extremely extremly sensitive to medication, clozoril almost killed me and was on life s… (cont. on p.10)
An mp3 player with Carlos Castenada MP3's, a bible, and a heavy load of programming specifically
focused on creativity and group discussion. When I am able to help others, I feel better about myself and I
do this well in a group setting.
BR

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Please AVOID doing the following things while I am in a crisis, as they may make me feel worse:

Part 6. Home care/Community care/Respite center
If possible, follow this care plan instead of hospitalization:

Part 7. Hospital or other Treatment Facilities
If I am being admitted to a hospital or treatment facility, I prefer the following facilities in order of preference:

1.
Name
Reason I prefer it

2.
Name
Reason I prefer it

AVOID using the following hospital or treatment facilities:

1.
Name
Reason to avoid it

2.
Name
Reason to avoid it

Restraints, isolation (unless self directed), and authority passes at me, I have oppositional authority disoder
and compulsive anger disorder and i can be extremely sophisticated.
A respite center or a very short term hospitalization if deemed appropriate.
Trenton Psychiatric Hospital, Sullivan Way, West Trent… (cont. on p.10)
My preferred facility if I am incarcerated for a long-term period
All others
Preferred for reasons above.
BR

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Part 8: Treatments and Therapies
The following treatments and therapies help me when I am in crisis:

Name
When to use this therapy

Name
When to use this therapy

Treatments and Interventions that I do not consent to:

Name
Reason why

Name
Reason why

I would like to be permitted to use the following wellness techniques to help me in my recovery:

Part 9: Inactivating the Plan
The following signs, lack of symptoms or actions indicate that my supporters no longer need to use this plan and I am
able to make decisions on my own behalf:

ECT, restraints, seclusion, medicatio… (cont. on p.10)
extremely senistiive to medication, doctors have ignored this and almost killed me, I had an ostomy for a… (cont. on p.10)
I am a biblical savant and highly religiously occupied, one thing that really helps is consistent treatment with
a chaplain.
One thing that really helps me be less psychotic is ketamine treatments, i find that the short term psychosis
experienced from such reduces long term psychotic features, as almost as if the psychosis is flushed from
my system with the three minutes or so from the effect of the ketamine.
Unless I am angry at you, and as someone who claims Jesus Christ, I may indeed have a right to be angry
at you and everyone in general, the signs will be pretty obvious
anger and extremely large amounts of it isnt abnormal for me, unless I am becoming violent because of it.
otherwise it will be pretty obvious to you if i am psychotic and when i am not.
BR

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Signature of Declarant:

I,
al adult of sound mind, voluntarily make this
declaration for mental health treatment.

Signature

Date

Print Name

Any Mental Health Care Advance Directive plan signed with a more recent date takes precedence over
this one.

Witness:

I attest that the declarant signed this document (or asked another to sign this document on his or her behalf) in my
presence, and that the declarant appears to be of sound mind and free of duress and undue influence. I am 18 years
of age or older. I am not designated by this or any other document as the person’s mental health care
representative, nor as an alternate mental health care representative. At the time this document is being executed, I
am not the responsible mental health care professional responsible, or directly involved with, the declarant’s care.

Witnessed by

Date

Print Name

Second Witness:
(A second witness is required if the first witness is related to the declarant by blood, marriage or adoption, or is the
declarant’s domestic partner or otherwise shares the same home with the declarant; is entitled to any part of the
declarant’s estate by will or by operation of law at the time the advance directive is being executed; or is an
operator, administrator, or employed of a rooming or boarding or residential health care facility in which the
declarant resides.)

I attest that the declarant signed this document (or asked another to sign this document on his or her behalf) in my
presence, and that the declarant appears to be of sound mind and free of duress and undue influence. I am 18 years
of age or older. I am not designated by this or any other document as the person’s mental health care
representative, nor as an alternate mental health care representative. At the time this document is being executed, I
am not the responsible mental health care professional responsible, or directly involved with, the declarant’s care.

Witnessed by:

Date:

Print Name

This plan has been voluntarily registered with the State of New Jersey Division of Mental Health and Addiction
Services Psychiatric Advance Directive Registry, operated and maintained by U.S. Living Will Registry.
Bryan Ruiz
09/22/2026
Bryan Ruiz
BR
signature on file

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If you have any additional instructions or notes, please include them here.

Incarceration: If I am incarcerated for a long-term period, I request to be transferred to
and treated at Trenton Psychiatric Hospital in Trenton, New Jersey, and that every
medication listed in this directive, including my nicotine patches, be continued without
interruption. If I am in New York State, I was advised I can indeed be transferred to NJ
through certain processes and am highly seeking this as a request. I love Trenton
Psychiatric Hopsital, I've spent over 12 years there, and am familiar with the people there
as they are familar with me. Ann Klein is preferred if a high security commitment is
required.
The main purpose of this psychiatric advanced directive is to direct me to Trenton
Psychiatic Hosptial if I am incarcerated long term, whether I am in NY state or the state of
NJ. Medications are important too.
When I am well (continued): even more when someone takes from me. I am normally someone who
claims Jesus Chirst / Antichrist / Samael / Christian Scarlet - this is baseline for me. I
am founder of Scarlet Beast: A NJ Non Profit Corporation which comes from Revelation 17 in
the bible. Revelation 17 is a highly misunderstood prophecy and does not designate I am evil
and i should be measured by my fruits and not by the tree. Revelation 11 is one of the roles
I have self assigned, or have assigned by divine providence, so this should be expected too.
Highly interested in AI in regards to Revelation 13. I believe in a sinless sense of self,
(continued on the attached page)
BR

Page 11

Psychiatric Advance Directive of Bryan Ruiz — additional notes (continued)
not lusting after others
Effect of substances (continued): cocaine - just become charged heroin - doesnt really
affect me too much extascy - extremly open to others molly - doesnt effect me too much until
it really affects me and i become incorehent LSD - probably deep psychosis, too long to
remember K2 - Can be extremely psychotic from it for very short period of time, then it
wears off, have blacked out on it and done things I wished i havent done Meth - extremely
psychotic for long period of time Crack - similar to coccaine, just more short term, causes
alot of anxiety afterwards PCP - I dont know ketamine - psychotic and puts me in another
realm completely LSD - too long ago to remember
Additional supporter:
(Partner)
Additional supporter:
(Mother)
Providers to notify (continued): Unique People Services (Housing) -
-
, Director (
-
) Please notify all these contacts/agencies
Current medication: psychopath with presumed schizoaffective disorder, partial dopamine
agonist preferred, strong brain, dopamine deficiency
Current medication: triglyceride, targets most used neurotransmitters, strong brain, heavy
usage, narcissitic, non violent psychopath
Current medication: Vitamin D — 125mcg daily, Supplement - very important for communication
between neurotransmitters for me, vitamin d definancy from no sun
Current medication: Nicotine patches AND gum — 4mg gum and MAX patches, Nicotine replacement
- heavy nicotine and caffeine usage
Current medication: xyprexia — 5mg - 10mg PRN as needed, calm me down if im overwhelmed
Current medication: trazadone — 150 mg PRN as needed, for sleep if needed
Consented medication: psychopath with presumed schizoaffective disorder, partial dopamine
agonist preferred, strong brain, dopamine deficiency
Consented medication: triglyceride, targets most used neurotransmitters, strong brain, heavy
usage, narcissitic, non violent psychopath
I consent to: L-theanine — 200mg daily, Supplement - precursor to dopamine
I consent to: Ashwagandha — 600mg daily, Supplement
I consent to: Vitamin D — 125mcg daily, Supplement - very important for communication
between neurotransmitters for me, vitamin d definancy from no sun
I consent to: Nicotine patches AND gum — 4mg gum and MAX patches, Nicotine replacement -
heavy nicotine and caffeine usage
I consent to: xyprexia — 5mg - 10mg PRN as needed, calm me down if im overwhelmed
I consent to: trazadone — 150 mg PRN as needed, for sleep if needed
Reason to avoid: extremely painful, ineffective and causes depression, personally avoid
anything that effects estrogen levels
Reason to avoid: its too much lithium, used for supplemental reasons and not to treat
bipolar/schizoaffective disorder, i am an Autistic, ADHD narcissitic psychopath with a
christ complex
Reason to avoid: extremely extremly sensitive to medication, clozoril almost killed me and
was on life support for 15 days
Preferred facility 1: Trenton Psychiatric Hospital, Sullivan Way, West Trenton, NJ 08628
Initials BR
[name] (Case Manager)

Page 12

(609-633-1500)
Refused treatment: ECT, restraints, seclusion, medication heavy treatments
Why refused: extremely senistiive to medication, doctors have ignored this and almost killed
me, I had an ostomy for a period of 6 to 8 months.
Initials BR

Text version: New York Health Care Proxy + PAD (12 pages)

Page 1

Health Care Proxy
Appointing Your Health Care Agent
in New York State
The New York Health Care Proxy Law allows you to
appoint someone you trust — for example, a family
member or close friend – to make health care decisions
for you if you lose the ability to make decisions yourself.
By appointing a health care agent, you can make sure
that health care providers follow your wishes. Your
agent can also decide how your wishes apply as your
medical condition changes. Hospitals, doctors and
other health care providers must follow your agent’s
decisions as if they were your own. You may give the
person you select as your health care agent as little
or as much authority as you want. You may allow your
agent to make all health care decisions or only certain
ones. You may also give your agent instructions that
he or she has to follow. This form can also be used to
document your wishes or instructions with regard to
organ, eye and/or tissue donation.

Page 2

About the Health Care Proxy Form
This is an important legal document. Before signing, you should understand the following facts:
1.
This form gives the person you choose as your agent the authority to make all health care
decisions for you, including the decision to remove or provide life-sustaining treatment, unless
you say otherwise in this form. “Health care” means any treatment, service or procedure to
diagnose or treat your physical or mental condition.
2. Unless your agent reasonably knows your wishes about artificial nutrition and hydration
(nourishment and water provided by a feeding tube or intravenous line), he or she will not be
allowed to refuse or consent to those measures for you.
3. Your agent will start making decisions for you when your doctor determines that you are not
able to make health care decisions for yourself.
4. You may write on this form examples of the types of treatments that you would not desire and/
or those treatments that you want to make sure you receive. The instructions may be used to
limit the decision-making power of the agent. Your agent must follow your instructions when
making decisions for you.
5. You do not need a lawyer to fill out this form.
6. You may choose any adult (18 years of age or older), including a family member or close friend,
to be your agent. If you select a doctor as your agent, he or she will have to choose between
acting as your agent or as your attending doctor because a doctor cannot do both at the same
time. Also, if you are a patient or resident of a hospital, nursing home or mental hygiene facility,
there are special restrictions about naming someone who works for that facility as your agent.
Ask staff at the facility to explain those restrictions.
7.
Before appointing someone as your health care agent, discuss it with him or her to make sure
that he or she is willing to act as your agent. Tell the person you choose that he or she will be
your health care agent. Discuss your health care wishes and this form with your agent. Be sure
to give him or her a signed copy. Your agent cannot be sued for health care decisions made in
good faith.
8. If you have named your spouse as your health care agent and you later become divorced or
legally separated, your former spouse can no longer be your agent by law, unless you state
otherwise. If you would like your former spouse to remain your agent, you may note this on
your current form and date it or complete a new form naming your former spouse.
9. Even though you have signed this form, you have the right to make health care decisions for
yourself as long as you are able to do so, and treatment cannot be given to you or stopped if
you object, nor will your agent have any power to object.
10. You may cancel the authority given to your agent by telling him or her or your health care
provider orally or in writing.
11. Appointing a health care agent is voluntary. No one can require you to appoint one.
12. You may express your wishes or instructions regarding organ, eye and/or tissue donation on
this form.

Page 3

Frequently Asked Questions
Why should I choose a health care agent?
If you become unable, even temporarily, to make health care decisions, someone else must decide
for you. Health care providers often look to family members for guidance. Family members may
express what they think your wishes are related to a particular treatment. Appointing an agent lets
you control your medical treatment by:
• allowing your agent to make health care decisions on your behalf as you would want
them decided;
• choosing one person to make health care decisions because you think that person would
make the best decisions;
• choosing one person to avoid conflict or confusion among family members and/or
significant others.
You may also appoint an alternate agent to take over if your first choice cannot make decisions
for you.
Who can be a health care agent?
Anyone 18 years of age or older can be a health care agent. The person you are appointing as
your agent or your alternate agent cannot sign as a witness on your Health Care Proxy form.
How do I appoint a health care agent?
All competent adults, 18 years of age or older, can appoint a health care agent by signing a form
called a Health Care Proxy. You don’t need a lawyer or a notary, just two adult witnesses. Your agent
cannot sign as a witness. You can use the form printed here, but you don’t have to use this form.
When would my health care agent begin to make health care decisions for me?
Your health care agent would begin to make health care decisions after your doctor decides that
you are not able to make your own health care decisions. As long as you are able to make health
care decisions for yourself, you will have the right to do so.
What decisions can my health care agent make?
Unless you limit your health care agent’s authority, your agent will be able to make any health care
decision that you could have made if you were able to decide for yourself. Your agent can agree
that you should receive treatment, choose among different treatments and decide that treatments
should not be provided, in accordance with your wishes and interests. However, your agent can
only make decisions about artificial nutrition and hydration (nourishment and water provided by
feeding tube or intravenous line) if he or she knows your wishes from what you have said or what
you have written. The Health Care Proxy form does not give your agent the power to make non-
health care decisions for you, such as financial decisions.
Why do I need to appoint a health care agent if I’m young and healthy?
Appointing a health care agent is a good idea even though you are not elderly or terminally ill. A
health care agent can act on your behalf if you become even temporarily unable to make your own
health care decisions (such as might occur if you are under general anesthesia or have become
comatose because of an accident). When you again become able to make your own health care
decisions, your health care agent will no longer be authorized to act.
How will my health care agent make decisions?
Your agent must follow your wishes, as well as your moral and religious beliefs. You may write
instructions on your Health Care Proxy form or simply discuss them with your agent.

Page 4

Frequently Asked Questions, continued
How will my health care agent know my wishes?
Having an open and frank discussion about your wishes with your health care agent will put him or
her in a better position to serve your interests. If your agent does not know your wishes or beliefs,
your agent is legally required to act in your best interest. Because this is a major responsibility
for the person you appoint as your health care agent, you should have a discussion with the
person about what types of treatments you would or would not want under different types of
circumstances, such as:
• whether you would want life support initiated/continued/removed if you are in a
permanent coma;
• whether you would want treatments initiated/continued/removed if you have a terminal illness;
• whether you would want artificial nutrition and hydration initiated/withheld or continued or
withdrawn and under what types of circumstances.
Can my health care agent overrule my wishes or prior treatment instructions?
No. Your agent is obligated to make decisions based on your wishes. If you clearly expressed
particular wishes, or gave particular treatment instructions, your agent has a duty to follow those
wishes or instructions unless he or she has a good faith basis for believing that your wishes
changed or do not apply to the circumstances.
Who will pay attention to my agent?
All hospitals, nursing homes, doctors and other health care providers are legally required to
provide your health care agent with the same information that would be provided to you and to
honor the decisions by your agent as if they were made by you. If a hospital or nursing home
objects to some treatment options (such as removing certain treatment) they must tell you or your
agent BEFORE or upon admission, if reasonably possible.
What if my health care agent is not available when decisions must be made?
You may appoint an alternate agent to decide for you if your health care agent is unavailable,
unable or unwilling to act when decisions must be made. Otherwise, health care providers will
make health care decisions for you that follow instructions you gave while you were still able to do
so. Any instructions that you write on your Health Care Proxy form will guide health care providers
under these circumstances.
What if I change my mind?
It is easy to cancel your Health Care Proxy, to change the person you have chosen as your health
care agent or to change any instructions or limitations you have included on the form. Simply fill
out a new form. In addition, you may indicate that your Health Care Proxy expires on a specified
date or if certain events occur. Otherwise, the Health Care Proxy will be valid indefinitely. If you
choose your spouse as your health care agent or as your alternate, and you get divorced or legally
separated, the appointment is automatically cancelled. However, if you would like your former
spouse to remain your agent, you may note this on your current form and date it or complete a
new form naming your former spouse.
Can my health care agent be legally liable for decisions made on my behalf?
No. Your health care agent will not be liable for health care decisions made in good faith on your
behalf. Also, he or she cannot be held liable for costs of your care, just because he or she is
your agent.

Page 5

Is a Health Care Proxy the same as a living will?
No. A living will is a document that provides specific instructions about health care decisions. You
may put such instructions on your Health Care Proxy form. The Health Care Proxy allows you to
choose someone you trust to make health care decisions on your behalf. Unlike a living will, a
Health Care Proxy does not require that you decide in advance decisions that may arise. Instead,
your health care agent can interpret your wishes as medical circumstances change and can make
decisions you could not have known would have to be made.
Where should I keep my Health Care Proxy form after it is signed?
Give a copy to your agent, your doctor, your attorney and any other family members or close
friends you want. Keep a copy in your wallet or purse or with other important papers, but not in a
location where no one can access it, like a safe deposit box. Bring a copy if you are admitted to
the hospital, even for minor surgery, or if you undergo outpatient surgery.
May I use the Health Care Proxy form to express my wishes about organ, eye and/or
tissue donation?
Yes. Use the optional organ, eye and/or tissue donation section on the Health Care Proxy form
and be sure to have the section witnessed by two people. You may specify that your organs, eyes
and/or tissues be used for transplantation, research or educational purposes. Any limitation(s)
associated with your wishes should be noted in this section of the proxy. Failure to include your
wishes and instructions on your Health Care Proxy form will not be taken to mean that you do
not want to be an organ, eye and/or tissue donor.
Can my health care agent make decisions for me about organ, eye and/or tissue donation?
Yes. As of August 26, 2009, your health care agent is authorized to make decisions after your
death, but only those regarding organ, eye and/or tissue donation. Your health care agent must
make such decisions as noted on your Health Care Proxy form.
Who can consent to a donation if I choose not to state my wishes at this time?
It is important to note your wishes about organ, eye and/or tissue donation to your health care
agent, or “health care proxy,” family members, and the person responsible for disposition of your
remains. If you have not already made your wishes to become, or not to become, an organ and/
or tissue donor known, New York Law provides a list of individuals who are authorized to consent
to organ, eye and/or tissue donation on your behalf. They are listed as follows, in order of priority:
your health care agent/proxy; your spouse, if you are not legally separated, or your domestic
partner; a son or daughter 18 years of age or older; either of your parents; a brother or sister 18
years of age or older; an adult grandchild; a grandparent; a guardian appointed for you by a court
prior to your death; or any other person authorized to dispose of your body.
Frequently Asked Questions, continued

Page 6

Health Care Proxy Form Instructions
Item (1)
Write the name, home address and telephone
number of the person you are selecting as
your agent.
Item (2)
If you want to appoint an alternate agent,
write the name, home address and telephone
number of the person you are selecting as
your alternate agent.
Item (3)
Your Health Care Proxy will remain valid
indefinitely unless you set an expiration date
or condition for its expiration. This section is
optional and should be filled in only if you want
your Health Care Proxy to expire.
Item (4)
If you have special instructions for your agent,
write them here. Also, if you wish to limit your
agent’s authority in any way, you may say so
here or discuss them with your health care
agent. If you do not state any limitations, your
agent will be allowed to make all health care
decisions that you could have made, including
the decision to consent to or refuse life-
sustaining treatment.
If you want to give your agent broad authority,
you may do so right on the form. Simply write: I
have discussed my wishes with my health care
agent and alternate and they know my wishes
including those about artificial nutrition and
hydration.
If you wish to make more specific instructions,
you could say:
If I become terminally ill, I do/don’t want to
receive the following types of treatments....
If I am in a coma or have little conscious
understanding, with no hope of recovery,
then I do/don’t want the following types of
treatments:....
If I have brain damage or a brain disease
that makes me unable to recognize people
or speak and there is no hope that my
condition will improve, I do/don’t want the
following types of treatments:....
I have discussed with my agent my wishes
about____________ and I want my agent
to make all decisions about these measures.
Examples of medical treatments about which
you may wish to give your agent special
instructions are listed below. This is not a
complete list:
• artificial respiration
• artificial nutrition and hydration (nourish
ment and water provided by feeding tube)
• cardiopulmonary resuscitation (CPR)
• antipsychotic medication
• electric shock therapy
• antibiotics
• surgical procedures
• dialysis
• transplantation
• blood transfusions
• abortion
• sterilization
Item (5)
You must date and sign this Health Care
Proxy form. If you are unable to sign yourself,
you may direct someone else to sign in your
presence. Be sure to include your address.
Item (6)
You may state wishes or instructions about
organ, eye and /or tissue donation on this
form. New York law does provide for certain
individuals in order of priority to consent to
an organ, eye and/or tissue donation on your
behalf: your designated health care agent/
proxy; your designated agent to control the
disposition of your remains; your spouse, if you
are not legally separated, or your domestic
partner; a son or daughter 18 years of age or
older; either of your parents; a brother or sister
18 years of age or older; an adult grandchild;
a grandparent; a guardian appointed by a
court prior to your death; or any other person
authorized to dispose of your body.
Item (7)
Two witnesses 18 years of age or older must
sign this Health Care Proxy form. The person
who is appointed your agent or alternate agent
cannot sign as a witness.

Page 7

Health Care Proxy
(1) I,

hereby appoint

(name, home address and telephone number)

as my health care agent to make any and all health care decisions for me, except to the
extent that I state otherwise. This proxy shall take effect only when and if I become unable to
make my own health care decisions.
(2) Optional: Alternate Agent

If the person I appoint is unable, unwilling or unavailable to act as my health care agent,
I hereby appoint

(name, home address and telephone number)

as my health care agent to make any and all health care decisions for me, except to the extent
that I state otherwise.
(3) Unless I revoke it or state an expiration date or circumstances under which it will expire, this
proxy shall remain in effect indefinitely. (Optional: If you want this proxy to expire, state the
date or conditions here.) This proxy shall expire (specify date or conditions):

(4) Optional: I direct my health care agent to make health care decisions according to my wishes
and limitations, as he or she knows or as stated below. (If you want to limit your agent’s
authority to make health care decisions for you or to give specific instructions, you may state
your wishes or limitations here.) I direct my health care agent to make health care decisions
in accordance with the following limitations and/or instructions (attach additional pages
as necessary):

In order for your agent to make health care decisions for you about artificial nutrition and
hydration (nourishment and water provided by feeding tube and intravenous line), your agent
must reasonably know your wishes. You can either tell your agent what your wishes are or
include them in this section. See instructions for sample language that you could use if you
choose to include your wishes on this form, including your wishes about artificial nutrition
and hydration.
Bryan Ruiz
My instructions and limitations are set out in Attachment A (Psychiatric Advance Directive), attached and made part
of this proxy. My agent must follow them.

Page 8

(5) Your Identification (please print)

Your Name

Your Signature
Date

Your Address
(6) Optional: Organ, Eye and/or Tissue Donation

I hereby make an anatomical gift, to be effective upon my death, of:
(check any that apply)

■

■ Any needed organs, eyes and/or tissues

■

■ The following organs, eyes and/or tissues

■

■ Limitations

If you do not state your wishes or instructions about organ, eye and/or tissue donation on this
form, it will not be taken to mean that you do not wish to make a donation or prevent a person,
who is otherwise authorized by law, to consent to a donation on your behalf.

Your Signature
Date
(7) Statement by Witnesses (Witnesses must be 18 years of age or older and cannot be the
health care agent or alternate.)

I declare that the person who signed this document is personally known to me and appears to
be of sound mind and acting of his or her own free will. He or she signed (or asked another to
sign for him or her) this document in my presence.

Witness 1

Date

Name (print)

Signature

Address

Witness 2

Date

Name (print)

Signature

Address
1430
8/22
Department
of Health
Bryan Ruiz
09/22/2026
signature on
file

Page 9

Attachment A — Health Care Proxy of Bryan Ruiz
Page 1 · Initials BR
ATTACHMENT A
Psychiatric Advance Directive of Bryan Ruiz
Instructions to my health care agent and my providers, attached to and made part of my New York Health Care Proxy (form
DOH-1430), section (4). Under New York Public Health Law Article 29-C my agent must follow these instructions when making
mental health care decisions for me.
Name
Bryan Ruiz
Date of birth
Address
Phone
+1.646.458.1488
1. When these instructions apply
I want these instructions followed when my attending physician determines that I lack capacity, or, in the
absence of that determination, when the signs of crisis described below are evident.
2. My medications — continue these without interruption
Medication / supplement
Dose
Purpose
I consent
Abilify Maintena (aripiprazole)
400 mg injection, monthly
psychopath with presumed
schizoaffective disorder, partial
dopamine agonist preferred,
strong brain, dopamine
deficiency
Yes
Lithium
300 mg daily
nutritional value, purposely not
blood leveled
Yes
Wellbutrin (bupropion)
150 mg daily
triglyceride, targets most used
neurotransmitters, strong brain,
heavy usage, narcissitic, non
violent psychopath
Yes
L-theanine
200mg daily
Supplement - precursor to
dopamine
Yes
Ashwagandha
600mg daily
Supplement
Yes
Vitamin D
125mcg daily
Supplement - very important for
communication between
neurotransmitters for me, vitamin
d definancy from no sun
Yes
Nicotine patches AND gum
4mg gum and MAX
patches
Nicotine replacement - heavy
nicotine and caffeine usage
Yes
xyprexia
5mg - 10mg PRN as
needed
calm me down if im
overwhelmed
Yes
trazadone
150 mg PRN as needed
for sleep if needed
Yes
3. Medications I do not consent to
Medication
Reason
ANY SSRI's
ineffective, no need, I use wellbutrion for the triglyceride reasons being
an agonist
Any Antagonists and other
Antipsychotics
extremely painful, ineffective and causes depression, personally avoid
anything that effects estrogen levels
Blood Leveled Lithium
its too much lithium, used for supplemental reasons and not to treat
bipolar/schizoaffective disorder, i am an Autistic, ADHD narcissitic
psychopath with a christ complex

Page 10

Attachment A — Health Care Proxy of Bryan Ruiz
Page 2 · Initials BR
Medication
Reason
Any other Medication
extremely extremly sensitive to medication, clozoril almost killed me and
was on life support for 15 days
5. Where I want to be treated
If incarcerated: If I am incarcerated for a long-term period, I request to be transferred to and treated at
Trenton Psychiatric Hospital in Trenton, New Jersey, and that every medication listed in this directive,
including my nicotine patches, be continued without interruption.
If I am in New York State, I was advised I can indeed be transferred to NJ through certain processes and am
highly seeking this as a request. I love Trenton Psychiatric Hopsital, I've spent over 12 years there, and am
familiar with the people there as they are familar with me. Ann Klein is preferred if a high security commitment
is required.
Preferred facilities, in order
Facility
Why
Trenton Psychiatric Hospital, Sullivan Way,
West Trenton, NJ 08628 (609-633-1500)
My preferred facility if I am incarcerated for a long-term period
Facilities to avoid
Facility
Why
All others
Preferred for reasons above.
7. Treatments I do not consent to
Treatment
Reason
ECT, restraints, seclusion, medication
heavy treatments
extremely senistiive to medication, doctors have ignored this and almost
killed me, I had an ostomy for a period of 6 to 8 months.
8. Signs that I am in crisis
Physically violent, sexually preoccupied
What helps me
An mp3 player with Carlos Castenada MP3's, a bible, and a heavy load of programming specifically focused
on creativity and group discussion. When I am able to help others, I feel better about myself and I do this well
in a group setting.
Please avoid
Restraints, isolation (unless self directed), and authority passes at me, I have oppositional authority disoder
and compulsive anger disorder and i can be extremely sophisticated.
When I am well
Believes and acts according to these principles: Love God, Love Friend, Love Enemy, Love neighbor with all
my heart soul strength and mind. Forgives others 77 times, turns the other cheek when assulted, gives even
more when someone takes from me.
I am normally someone who claims Jesus Chirst / Antichrist / Samael / Christian Scarlet - this is baseline for
me. I am founder of Scarlet Beast: A NJ Non Profit Corporation which comes from Revelation 17 in the bible.
Revelation 17 is a highly misunderstood prophecy and does not designate I am evil and i should be measured

Page 11

Attachment A — Health Care Proxy of Bryan Ruiz
Page 3 · Initials BR
by my fruits and not by the tree.
Revelation 11 is one of the roles I have self assigned, or have assigned by divine providence, so this should
be expected too.
Highly interested in AI in regards to Revelation 13.
I believe in a sinless sense of self, not lusting after others
My medical conditions
Wolfe Parkison White - Treated with two ablation procedures
Colostomy because of life threatening rupture of intestine due to clozaril constipation
When I can make my own decisions again
Unless I am angry at you, and as someone who claims Jesus Christ, I may indeed have a right to be angry at
you and everyone in general, the signs will be pretty obvious
anger and extremely large amounts of it isnt abnormal for me, unless I am becoming violent because of it.
otherwise it will be pretty obvious to you if i am psychotic and when i am not.
9. My providers
Role
Name
Phone
Psychiatrist
Case manager
(The Bridge)
People to contact
Name
Relationship
Phone
Lawyer
Best Friend
Close Friend
Partner
Mother
10. Other instructions
The main purpose of this psychiatric advanced directive is to direct me to Trenton Psychiatic Hosptial if I am
incarcerated long term, whether I am in NY state or the state of NJ. Medications are important too.
[psychiatrist] (The Bridge)

Page 12

Attachment A — Health Care Proxy of Bryan Ruiz
Page 4 · Initials BR
Signature
09/22/2026
Signature of Bryan Ruiz
Date
Witnesses (the same two adults who witness section 7 of the Health Care Proxy; neither may be my agent or alternate agent):
Witness 1 signature
Witness 2 signature
Print name / date
Print name / date
signature on file

For clinicians and responders: these are published copies with third-party details removed. The signed originals are held by Christian. If you or someone you know is in crisis now: in the US call or text 988; elsewhere see findahelpline.com, or call your local emergency number.

Christian Scarlet

Measured by the fruit, not the tree

The engineer

The founder

The artist

The writer and the mystic

Living in the open

Psychiatric advance directives

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Signal over noise.

BET ON YOU