Arizona Advance Directive Form

When an Arizonan wishes to designate a healthcare representative to decide on medical situations for them, they may do so via an advance directive. The agent appointed should come from the patient’s family member, a close acquaintance, or a member of the immediate family. There will be no restrictions on what medical decisions the agent may make that are in agreement with the patient's preferences. There are two possibilities during end-of-life care: to prolong life when feasible or to withdraw food, hydration, and breathing aid.

Arizona advance directive

Arizona Advance Directive Form

Laws and Guidelines

Statutes – Chapter 32 of Title 36 (Living Wills and Medical Care Directives)

Requirements for signing (§ 36-3221(A)(3), § 36-3262) – A witness is required or it can also be notarized.

Registration of Advance Directive Forms

Once you've completed the form for registration, mail it to the address shown below:

The Secretary of State

Attention:  The Advance Directive Department.

1700 W. Washington Street, Fl 7

Phoenix, AZ 85007 

There are two (2) versions available under an Advance Directive. They are;

  • The Attorney General version

  • The Northern Arizona Healthcare version

Download our free Arizona advance directive in an instant to create a legally binding document.

Download our free Arizona advance directive in an instant to create a legally binding document.

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