Medical Power Of Attorney Arizona With Odometer Disclosure Form

Category:

Power of Attorney - Healthcare - Living Wills

State:

Arizona

Control #:

AZ-POA-1

Format:

Instant download

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Description

This form is a durable power of attorney for health care. Some of the duties that the agent of the principal is empowered to perform are as follows: to employ and discharge health care providers, pay reasonable fees and expenses for contracted services, and to consent, refuse, or withdraw consent to any care, treatment or service rendered on behalf of the principal.

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How to fill out Arizona Medical Power Of Attorney?

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Medical Power of Attorney

Power of Attorney and Health Care - General - Arizona

36-3221. Health care power of attorney; scope; requirements; limitations

A. A person who is an adult may designate another adult individual or other adult individuals to make health care decisions on that person's behalf by executing a written health care power of attorney that meets all of the following requirements:

1. Contains language that clearly indicates that the person intends to create a health care power of attorney.

2. Except as provided under subsection B, is dated and signed or marked by the person who is the subject of the health care power of attorney.

3. Is notarized or is witnessed in writing by at least one adult who affirms that the notary or witness was present when the person dated and signed or marked the health care power of attorney, except as provided under subsection B, and that the person appeared to be of sound mind and free from duress at the time of execution of the health care power of attorney.

B. If a person is physically unable to sign or mark a health care power of attorney, the notary or each witness shall verify on the document that the person directly indicated to the notary or witness that the power of attorney expressed the person's wishes and that the person intended to adopt the power of attorney at that time.

C. A notary or witness shall not be any of the following:

1. A person designated to make medical decisions on the principal's behalf.

2. A person directly involved with the provision of health care to the principal at the time the health care power of attorney is executed.

D. If a health care power of attorney is witnessed by only one person, that person may not be related to the principal by blood, marriage or adoption and may not be entitled to any part of the principal's estate by will or by operation of law at the time that the power of attorney is executed.

36-3222. Health care power of attorney; amendments

An amendment to a health care power of attorney shall meet the requirements of section 36-3221, subsection A, paragraphs 2 and 3 unless the amendment is only made to indicate an agent's change of address or telephone number.

36-3223. Agents; powers and duties; removal; responsibility

A. The individual designated in a health care power of attorney to make health care decisions is an agent entitled to make and communicate these decisions while the principal is unable to do so.

B. An agent's authority to make health care decisions on behalf of the principal is limited only by the express language of the health care power of attorney or by court order as prescribed under section 36-3206.

C. The appointment of a person to act as an agent is effective until that authority is revoked by the principal or by court order.

Medical Power of Attorney

Power of Attorney and Health Care - General - Arizona

36-3221. Health care power of attorney; scope; requirements; limitations

1. Contains language that clearly indicates that the person intends to create a health care power of attorney.

2. Except as provided under subsection B, is dated and signed or marked by the person who is the subject of the health care power of attorney.

C. A notary or witness shall not be any of the following:

1. A person designated to make medical decisions on the principal's behalf.

2. A person directly involved with the provision of health care to the principal at the time the health care power of attorney is executed.

36-3222. Health care power of attorney; amendments

36-3223. Agents; powers and duties; removal; responsibility

A. The individual designated in a health care power of attorney to make health care decisions is an agent entitled to make and communicate these decisions while the principal is unable to do so.

C. The appointment of a person to act as an agent is effective until that authority is revoked by the principal or by court order.

Medical Power Of Attorney Arizona With Odometer Disclosure Form

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How to fill out Arizona Medical Power Of Attorney?

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Trusted and secure by over 3 million people of the world’s leading companies

Medical Power Of Attorney Arizona With Odometer Disclosure Form

Description

Related forms

Viewed forms

How to fill out Arizona Medical Power Of Attorney?

Form popularity

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Trusted and secure by over 3 million people of the world’s leading companies