1. Home »
  2. Power of Attorney »
  3. Arizona »
  4. Advance Directive

Arizona Advance Directive Form

Fill & Sign Fill & Sign Click to fill, edit and sign this form now!
Fill Now Fill Now Click to fill, edit and sign this form now!

Updated on November 7th, 2022

The Arizona advance directive is a combination of a medical power of attorney and a living will that provides a person (the “principal”) with end-of-life health care options. The medical power of attorney authorizes an agent to make health care decisions on the principal’s behalf if they cannot do so themselves. A living will allows the principal to record instructions for the administration of medical treatments, life-sustaining procedures, and medication.

Agent’s Duties§ 36-3283

LawsTitle 36, Chapter 32 (Living Wills and Health Care Directives)

Signing Requirements  (§ 36-3282(A)(5)) – One (1) Witness or Notary Public


Laws – § 36-3292

In Arizona, it is a free service to file your advance directive with the state.

Step 1 – Complete Your Advance Directive

Complete your advance directive and sign with either a notary public or witness.

Step 2 – Complete the Registration Agreement

The state of Arizona requires the Registration Agreement to be completed along with the Advance Directive.

Step 3 – Send to the Arizona Secretary of State

Send the completed Registration Agreement and advance directive to the following address:

Arizona Secretary of State Advance Directive Dept.
1700 W. Washington St., 7th Floor Phoenix, AZ 85007

Related Forms

Living Will – Use to set only end-of-life treatment options. This does not require the use of an agent.

Download: PDF


Medical Power of Attorney – Use to only delegate medical decisions to another person (the “agent”). Does not outline end-of-life decisions.

Download: PDF