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Arizona Health Care Power of Attorney Form

The form appoints an agent for future health decisions when you cannot make or communicate them, with optional additional directions.

Jurisdiction
Arizona
Purpose
Medical & health care
Source / form version
Updated August 2026
Resource format
PDF
Signing
Sign and date with an eligible adult witness OR a notary. The sole witness must be unrelated and not entitled to your estate; agent and directly involved care provider exclusions apply.
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Sources checked: 2026-11-13. General information, not individual legal advice.

Use the current life care planning form

The Attorney General’s five-page health care power of attorney names an agent and an alternate and provides space for preferences and limits. Optional sections address matters such as organ donation, autopsy and funeral arrangements. Complete only choices you understand, and review related living-will or mental-health documents separately.

Sources: [2] [3]

Choose one signature route

The instructions call for an eligible adult witness or a notary. The person named to make medical decisions and a person directly providing your health care cannot serve in that role. If using only one witness, the witness must also meet the unrelated/non-heir rule. Wait to sign until that person is present.

Sources: [2] [3]

Connect the paperwork to your care

Tell the agent what kinds of decisions matter most to you and where a signed copy will be kept. Give the health care team the complete signed form and any attached directions. Arizona’s registry is an optional way to make documents available; downloading or storing a form is not a substitute for completing its signing steps.

Sources: [2] [3]

Common questions

Is a notary always necessary?

No. Arizona permits the eligible-witness route described in A.R.S. §36-3221 and in the Attorney General’s instructions.

Sources: [1] [3]

Does this handle my bank account?

No. Use an Arizona financial power of attorney for money or property decisions. The health care and financial documents have different subjects and execution requirements.

Sources: [1] [3]

Related forms and guides

Sources and verification

  1. Arizona Attorney General: source and instructions (opens in a new tab)
  2. Publisher document download (opens in a new tab)
  3. Applicable state law or official guidance (opens in a new tab)

Publisher source and document inspected. This is source research, not independent attorney review.

The date above records a source check. It does not certify that a form is suitable for your circumstances or that an attorney has reviewed your document. Read the publisher’s current instructions before use.