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Arizona Advance Directive Form

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Arizona Advance Directive Form
Arizona Advance Directive Form
LIFE CARE PLANNING PACKET
(“ADVANCE DIRECTIVESOR “HEALTH CARE DIRECTIVES”)
OFFICE OF THE ARIZONA ATTORNEY GENERAL
Tom Horne
LIFE CARE PLANNING INFORMATION AND DOCUMENTS
1. Greetings from the Attorney General
2. General Information about Arizona laws related to future incapacity
3. Frequently Asked Questions (FAQ) about Life Care Planning (Advance Directives)
4. Life Care Planning forms with instructions
1. Durable Health Care Power of Attorney
2. Durable Mental Health Care Power of Attorney
3. Living Will (End of Life Care)
4. Letter to My Agent (Representative)
5. Pre-Hospital Medical Directive (Do Not Resuscitate)- Must be printed on ORANGE paper.
ARIZONA ADVANCE DIRECTIVE REGISTRY
The Arizona Advance Directive Registry was created in May 2004 by the Arizona State Legislature. The
Registry is a database for the storage of advance directives (Living Will, Medical Power of Attorney, and
Mental Health Power of Attorney). The Arizona Secretary of State oversees Registry filings, its security, and its
operations. Health care providers may use the Registry to look up registered directives using the information
provided to them by the registrant or the registrant’s loved ones. Further information and access to the Registry
is available on the Secretary of State’s Web site at www.azsos.gov
or by calling 602.542.6187 or toll free
800.458.5842.
Office of Arizona Attorney General
Tom Horne
Life Care Planning Information and Documents
Direct Line: 602.542.2123
Toll Free: 800.352.8431
Fax: 602.364.1970
www.azag.gov
Arizona Advance Directive Form
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