Health Care Power of Attorney
Names someone to make future medical decisions if you cannot make or communicate those decisions.
Understand the Arizona forms used to record health care wishes and choose someone to speak for you if you cannot.
The Arizona Attorney General provides these forms at no cost. Read the official Life Care Planning page for current versions and instructions. The PDF copies below came from that collection; use the official links to check for updates.
The packet combines planning information and the main advance directives. Choose the DNR printing option that works for you.
The orange DNR version must be printed in color. The white-background DNR must be printed on orange paper. The DNR also requires a physician signature.
Names someone to make future medical decisions if you cannot make or communicate those decisions.
Names someone to make mental health care decisions if you cannot make those decisions yourself.
Records the end-of-life medical treatments you do or do not want and helps communicate your wishes to your health care agent.
Informs emergency responders about a decision not to receive resuscitation before reaching a hospital. Discuss this form with your doctor, who must sign it. The directive must be on orange paper: print the orange version in color or the white version on orange paper.
A medical order intended for people who are seriously ill or frail, generally toward the end of life. Discuss whether it fits your situation with your clinician.
Used when you choose to register completed directives with the Arizona Healthcare Directives Registry. Registration is separate from preparing the directives.
The Attorney General offers an online request to have a packet mailed to you. AzHDR also offers a fillable short-form Living Will and Health Care Power of Attorney PDF. It is a separate form from the Attorney General packet.
Choose and complete documents with guidance from the official instructions or a qualified professional. AZ Seal the Deal Notary can provide an eligible notarization when requested, but does not give legal or medical advice, select documents, or prepare them. The Attorney General distributes the packet; the Arizona Healthcare Directives Registry handles registration.
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