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Durable Health Care Power of Attorney

Durable Health Care Power of Attorney

 

https://legal-forms.laws.com/arizona/durable-power-of-attorney

 

INSTRUCTIONS: ARIZONA DURABLE HEALTH CARE POWER OF ATTORNEY

 

 

The form discussed in this article is used to give someone health care power of attorney in the event you are unable to do so in Arizona. This document can be obtained from the website maintained by the Scottsdale Healthcare organization.

 

Arizona Durable Health Care Power Of Attorney Step 1: Section 1 concerns the principal. Enter your name, address, age, date of birth and telephone number.

 

Arizona Durable Health Care Power Of Attorney Step 2: Section 2 concerns the agent and alternate appointee. Enter the name, street address, city, state, zip code, home telephone number, work telephone number and fax number of both parties.

 

Arizona Durable Health Care Power Of Attorney Step 3: Section 3 concerns the types of health care decisions you authorize those entrusted with power of attorney to make.

 

Arizona Durable Health Care Power Of Attorney Step 4: Section 4 allows you to detail any decisions you expressly do not authorize this agent to make.

 

Arizona Durable Health Care Power Of Attorney Step 5: In section 5, indicate with a check mark whether you consent to an autopsy after death, do not consent to an autopsy or defer the decision to your representative.

 

Arizona Durable Health Care Power Of Attorney Step 6: Section 6 concerns your wishes regarding making an anatomical gift of your organs after death. Check line A if you do not wish to make an organ or tissue donation and do not want this donation authorized on your behalf by your representative or family.

 

Arizona Durable Health Care Power Of Attorney Step 7: Check line B if you wish to make an organ or tissue donation. If this is the case, document your wishes about which organs you wish to donate in sub-section 1, what purposes you authorize these donations for in sub-section 2, and what organization of person you want your parts or organs to go to in sub-section 3.

 

Arizona Durable Health Care Power Of Attorney Step 8: Section 7 requires you to document whether you have or have not created a living will.

 

Arizona Durable Health Care Power Of Attorney Step 9: Section 8 concerns prehospital medical care directives or do not resuscitate directives. Enter your signature and the date in Section 9. If unable to do so, a witness will enter their signature, printed name and the date where indicated.

Download the PDF file .

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