Free Arizona Living Will Form

Updated: Oct 31, 2026

It covers choices such as life-sustaining treatment, cardiopulmonary resuscitation, and artificially administered food and fluids, plus any additional instructions you want to add. Arizona residents commonly prepare one alongside a will, especially when a serious diagnosis makes future decisions hard to communicate.

A living will only takes effect once your medical condition matches what you specified. Keep signed copies where your family, doctor, and health care agent can find them.

Signing Requirements and Laws

A living will is valid in Arizona when it meets the signing rules in Ariz. Rev. Stat. § 36-3221: the document must clearly state that you intend to create a health care directive, and it must be dated and signed or marked by you. It must then be notarized, or witnessed in writing by at least one adult who confirms you signed it while of sound mind and free from duress.^[1.1]

• States your intent to create a health care directive
• Is dated
• Is signed or marked by you
• Is verified by a notary or one adult witness

Arizona verifies a living will the same way it verifies a health care power of attorney.^[1.1]

I was present when this was signed (or marked). the patient then appeared to be of sound mind and free from duress.

Arizona also restricts who may serve as your notary or witness. That person cannot be someone you have designated to make your medical decisions, and cannot be someone directly involved in providing you health care at the time you sign.^[1.2]

Arizona law also provides a sample living will statement you can use as a model for your own wishes about comfort care, life-sustaining treatment, and pregnancy.^[3]

A health care provider who makes a good faith decision based on an apparently genuine living will is immune from civil and criminal liability for that decision (A.R.S. § 36-3261(C)).^[4.1]

Arizona Living Will Form Details

Create a free high quality Arizona Living Will online now!

Create and Print Online Now

Steps to Fill Out the Form

The screenshots under each step show the FormsPal Arizona living will template filled with sample entries in blue, so you can see where each answer goes. The names, addresses, dates and amounts are examples only.

FormsPal’s living will form for Arizona combines your health care treatment directions with a medical power of attorney, so filling it out means working through both parts. Download the PDF or Word file above, then follow the sections below in the order the form uses.

1. Declaration. On page 2, enter the date, your name, and your address.

   

2. Health care treatment refusals. Initial any of the listed treatments you do not want, such as CPR, artificial nutrition and hydration, mechanical ventilation, dialysis, blood transfusions, or organ transplants.

   

3. End-of-life care conditions. Initial the conditions under which you want life-prolonging treatment withheld, including what happens if you are pregnant.

   

4. Add anything not already covered. Use the optional section on page 3 for any other wishes about your care that the form does not already ask about.

   

5. Appoint your health care agent. On page 3, name your agent and give their address and phone number.

   

6. Name a second agent. On page 4, give the name, address, and phone number of another person who can act for you if your first pick is unable to serve.

   

7. Review the powers granted to your agent. Page 4 lists the health care powers you are granting, including hiring health care workers, getting access to your medical records, and giving or withholding consent to medical care and procedures on your behalf. Read through the full list before you sign.

   

8. Effective date and HIPAA release. Page 6 explains that the medical power of attorney takes effect once you are incapacitated and authorizes the release of your health records.

   

9. Agent duties and conservator nomination. Page 7 states that your agent must follow the wishes in your living will, or act in your best interest if your wishes are not known for a specific decision. This page also names your agent as your first choice for conservator if a court ever needs to appoint one, with your named backup agent next in line.

   

10. General provisions. Page 7 also covers the single-original, prior-directive-revocation, and severability clauses. There is nothing to fill in here, but read it so you know how the document works.

    

11. Governing law and revocation. Page 8 covers the governing-law clause and your right to revoke or terminate the document.

    

12. Sign and date. On page 8, sign and date it in front of your notary or witness.

    

13. Witness acknowledgment. Your witness prints their name, address, and city or state, then signs and dates the acknowledgment confirming they watched you sign.^[2]

    

Other Arizona Forms
Use our document maker to customize any form on FormsPal to your requirements. Here’s a group of other common Arizona forms we provide.

Arizona Last Will Arizona Small Estate Affidavit Arizona Bill of Sale Arizona Power of Attorney Arizona Rental Lease Agreement Arizona Eviction Notice Arizona Promissory Note Arizona Non-compete Agreement Arizona Prenuptial Agreement Arizona LLC Operating Agreement Arizona Marital Settlement (Divorce) Agreement

Frequently Asked Questions

What Makes a Living Will Valid in Arizona?

A living will is valid in Arizona when you sign and date it. Either a notary or at least one adult witness must then verify it, the same way a health care power of attorney is verified.^[1.1] Your witness or notary must confirm they were present when you signed and that you appeared to be of sound mind and free from duress.^[2] Arizona’s statute also provides sample language you can use to describe your treatment choices.^[3]

How Do I Get a Living Will Form in Arizona?

Arizona law sets out a sample living will statement in Ariz. Rev. Stat. § 36-3262 that you can use as a model.^[3] Most people use a ready-made form instead. You can download FormsPal’s ready-made version as a PDF or Word file above, fill it out, and sign it with your witness or notary present.

General information, not legal or tax advice.

Sources

Unless noted otherwise, the sources below are from the Ariz. Rev. Stat..

1. Ariz. Rev. Stat. § 36-3221
   • 1.1 § 36-3221
   • 1.2 § 36-3221(C)
2. Ariz. Rev. Stat. § 36-3251
3. Ariz. Rev. Stat. § 36-3262
4. Ariz. Rev. Stat. § 36-3261
   • 4.1 § 36-3261(C)

Mara Erlach

Writer & Attorney

Mara has been practicing estate planning and trust law in California since 2003, taking pride in helping clients of all backgrounds and asset profiles form a complete and customized estate plan. Her specialties are: estate planning, wills and trusts, trust and probate administration.