Arizona Advance Directive Form

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An Arizona advance directive combines a medical power of attorney and a living will to provide an individual’s preferences for medical care. This directive also includes a mental health care power of attorney and a prehospital medicare care directive, otherwise known as a do not resuscitate or DNR.

Arizona Advance Directive Form

An Arizona advance directive combines a medical power of attorney and a living will to provide an individual’s preferences for medical care. This directive also includes a mental health care power of attorney and a prehospital medicare care directive, otherwise known as a do not resuscitate or DNR.

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Last updated May 8th, 2024

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An Arizona advance directive combines a medical power of attorney and a living will to provide an individual’s preferences for medical care. This directive also includes a mental health care power of attorney and a prehospital medicare care directive, otherwise known as a do not resuscitate or DNR.

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Signing Requirements

In Arizona, one adult witness or a notary public must sign the advance directive.[1] The witness must be at least 18 years old and must not be[2]:

  • Related to the principal.
  • The selected health care agent.
  • Participating in the principal’s health care when the directive is signed.
  • Entitled to any of the principal’s estate.

Advance Directive (Preview)

Arizona Advance Directive

Revocation

In most cases, the principal may revoke the advance directive by[3]:

  • Executing a new one.
  • Written revocation.
  • Orally notifying the agent or health care provider orally.
  • Any manner displaying the intent to revoke the document or remove the powers of the agent.

To revoke a mental health care power of attorney, the principal must be capable of giving informed consent.[4]

Registering

Though not mandatory, Arizona offers a free service to register advance directives called the Arizona Healthcare Directives Registry (AzHDR).To register, the principal must carry out the following steps[5]:

  1. Fill out and sign the registration agreement.
  2. Email a copy of the registration agreement and the advance directive to documents@azhdr.org.The documents may also be mailed to:

    Arizona Healthcare Directives Registry – Contexture
    2901 N. Central Ave., Ste. 1100
    Phoenix, AZ 85012

  3. Once the directive is verified, the principal will receive login info to access the online registry.

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