Advance Directive Form For Arizona

State:
Multi-State
Control #:
US-P023
Format:
Word; 
Rich Text
Instant download

Description

This living will form allows a military member to express your wishes and desires if it is determined that your death will occur whether or not life-sustaining procedures are utilized and where the application of life-sustaining procedures would serve only to artificially prolong the dying process. It is a declaration that such procedures be withheld or withdrawn, and that you be permitted to die naturally with only the administration of medication or the performance of any medical procedure deemed necessary to provide you with comfortable care. Federal law exempts this advance medical directive from any requirement of form, substance, formality, or recording that is provided for advance medical directives under the laws of a state.

An advance directive form for Arizona is a legal document that allows individuals to outline their preferences and make decisions about their medical treatment in the event they become unable to communicate or make decisions for themselves. It serves as a guide for medical professionals and caregivers to understand an individual's wishes regarding their healthcare. The main types of advance directive forms in Arizona include: 1. Living Will: This form allows individuals to specify the type of medical treatment they wish to receive or refuse if they have an incurable or irreversible condition that will lead to death or a persistent vegetative state. It typically addresses issues such as life-sustaining treatments, organ donation, and end-of-life care. 2. Healthcare Power of Attorney (HPA): This form allows individuals to appoint a trusted person, known as a healthcare agent or proxy, to make healthcare decisions on their behalf when they are unable to do so. The appointed healthcare agent must follow the individual's wishes and act in their best interest. 3. Mental Health Treatment Preference Declaration: This form is specific to mental health treatment and allows individuals to express their preferences regarding psychiatric medication, psychotherapy, electroconvulsive therapy (ECT), or other mental health treatments. 4. Do Not Resuscitate (DNR) Order: While not considered a true advance directive form, a DNR order instructs healthcare professionals not to perform cardiopulmonary resuscitation (CPR) in the event of cardiac arrest. This order is typically signed by a healthcare provider or in some cases, by a patient in consultation with their physician. These forms are crucial in empowering individuals to have control over their medical treatment and ensuring that their preferences are respected and followed. It is important for Arizona residents to complete these advance directive forms and discuss their choices with their healthcare providers and loved ones to ensure their wishes are known and upheld.

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FAQ

After you've completed your advance directives, make copies and store them in a safe place. Give copies to your health care proxy, health care providers, and lawyer. Some states have registries that can store your advance directive for quick access by health care providers and your proxy.

Ask to have it kept as part of your medical record. If you have more than one doctor, make sure that each one has a copy. Put a copy of your living will where it can be easily found. For example, some people may put a copy on their refrigerator door.

How to Write (1) Arizona Principal Name. ... (2) Age And Date Of Birth. (3) Address And Phone Number Of Arizona Declarant. (4) Comfort Care Only. ... (5) Specific Limitations On Medical Treatment. ... (6) Pregnancy. ... (7) Treatment Until My Medical Condition Is Reasonably Known. ... (8) Direction To Prolong My Life.

You can write your own advance directives or use any form as long as your signature is properly witnessed. The witness to your signature cannot be related to you by marriage or adoption or benefit from your estate. In Arizona, the form does not have to be notarized.

Although advisable for an advance decision to be in writing, if the treatment you want to refuse is not life-sustaining, you can create a valid advance decision simply by telling your doctor which treatments, and under what circumstances you would not want them in the future.

More info

Create your advance healthcare directive for Arizona using our free PDF template and instructions. Learn about care decision-makers in Arizona.Effective September 24, 2021, the Secretary of State's Office will no longer process Advance Directive documents. AzHDR for Advance Directive. An Arizona advance directive lets an individual select a health care agent to make decisions on their behalf and make end-of-life treatment selections. O If you would like to register your documents with the Arizona Health Care Directives. Registry, you MUST fill out this form and submit it with your documents. Your completed forms can be submitted to the Arizona Healthcare Directives Registry (azhdr. Org), a secure online registry for housing advance directives. You can fill out Part 1, Part 2, or both.

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Advance Directive Form For Arizona