Free Arizona Living Will Form

An Arizona living will is a document that an adult (usually referred to as a principal) can create to enable particular persons to make serious decisions concerning end-of-life medical treatment on behalf of the principal.

When a patient is in a terminal stage of a disease, coma, or an irreversible vegetative state and unable to make decisions, a living will form, created in advance, dictates what measures should be taken concerning the patient’s health care. With regard to the Arizona law, no person can neglect or affect the fulfillment of the measures indicated by a principal in the living will.

The measures commonly include:

  • Treatment to sustain life
  • Cardiopulmonary resuscitation
  • Artificial nutrition and hydration
  • Artificial ventilation
  • Other personal desires (optional)

Signing Requirements and Laws

As is indicated in §36-3261 and §36-3262 of Arizona law, a living will must be a clearly written document created by an adult, containing a date and signatures of the principal, one adult witness, or a notary public.

Here are the requirements a principal’s representative must meet to participate in an Arizona living will form creation:

  • must be over 18 years old
  • must have no relation to a principal by blood, marriage, or adoption.
  • must be entitled to a principal’s estate
  • must be appointed as a representative of a principal

A provider of health-care to the principal cannot be subject to legal actions for the decisions based on the existing living will. For complete legitimacy, an Arizona living will must undergo notarization.

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Steps to Fill Out the Form

To proceed to fill out an Arizona living will form, you can download it as a PDF file from our website or open it in a browser.

There are five essential steps you need to take to fill out an Arizona living will form:

1.  Enter the Principal’s Information

You need to add personal information, including your name, address, age, birth date, and telephone number. Regarding the document’s utmost importance, It is highly suggested that the information at the top of the living will form should be revised thoroughly by a principal before taking the next step.

2.  Indicate End-of-Life Care Decisions

This part provides a list of decisions concerning end-of-life health care, indicated by a principal. After familiarizing with the information in sections A—E of the form, a principal must initialize the most suitable statements. Once a principal has decided on the E section, all other sections should not be initialed.

A principal can initial the following statements:

  • Comfort care only
  • Certain limitations on health-care treatment
  • Measures taken in case of a discovered pregnancy
  • Medical Care until the terminal health condition
  • Prolongation of life to the utmost extent

3.  Indicate Additional Desires and Wishes

Should you prefer specific medical treatment beyond those mentioned in an Arizona living will form, you can indicate them in the third step of the form’s creation. Here, you can attach particular limitations and provisions concerning your end-of-life treatment.

4.  Have the Form Filled Out and Signed by You and a Witness

You need to initial and date the form to make it entirely legitimate. The Witness Verification section must be carefully reviewed by a witness and contain their signature and date.

If a principal is unable to sign a living will form due to their medical condition, a witness can do it on their behalf.

5.  Notarize an Arizona Living Will Form

A notary public must witness the principal and their witness leaving their signatures on the living will form, and review all the indicated sections of the form. Once this is done, a notary public will fill out their part of the form and attach the state seal to it to complete the notarization procedure.

Published: Nov 3, 2020