Health care directive in Arizona: form, signing and who decides

The form, who can witness, who can be your agent and who decides if you have no directive in Arizona.

Checked against official sources: October 31, 2026.

Short answer

Health Care Power of Attorney

Official form
Durable Health Care Power of Attorney (Life Care Planning packet; statutory sample at A.R.S. 36-3224)
How to sign
Notarized or signed by one adult witness
Who decides without a directive
Yes

The document and its form

Document
Health Care Power of Attorney
Official form
Durable Health Care Power of Attorney (Life Care Planning packet; statutory sample at A.R.S. 36-3224)Published by Arizona Attorney General (Life Care Planning)Version: Updated 08/2026

You do not have to use it.

Living will

Living Will

The living will is a separate document.

A living will states your treatment wishes. You can make it part of your health care power of attorney or a separate document. A separate living will must be signed the same way as a health care power of attorney: notarized or witnessed by at least one qualified adult.

Living will

Law: A.R.S. §§ 36-3221, 36-3224; A.R.S. §§ 36-3261, 36-3262

Signing rules

How to sign

Date and sign the health care power of attorney, then have it either notarized or signed by at least one qualified adult witness who confirms you appeared of sound mind and free from duress. Changes to it must be signed the same way.

Who signs

Dated and signed or marked by you. If you physically cannot sign, the notary or each witness must note on the document that you directly told them the document expresses your wishes.

Notary
A notary or witnesses (your choice)
Witnesses
1 (instead of a notary)
Who cannot witness

The notary or witness cannot be anyone you name to make medical decisions for you, or anyone directly involved in your health care when you sign. If only one witness signs, that witness cannot be related to you by blood, marriage or adoption and cannot be entitled to any part of your estate.

Law: A.R.S. §§ 36-3221, 36-3222

Who can be your agent and what the agent can do

Who cannot be your agent

Any adult can be your health care agent. A person whose fiduciary license was suspended or revoked cannot serve unless related to you or reinstated. For a mental health care power of attorney, the agent cannot be someone directly involved in your health care when you sign.

Law: A.R.S. 36-3221(E); A.R.S. 36-3281(C)

When the agent starts

Your agent makes decisions while you are unable to make or communicate them. The statutory sample says it takes effect on your inability to make or communicate health care decisions. The appointment lasts until you or a court revoke it.

Law: A.R.S. 36-3223(A); A.R.S. 36-3224

Decisions an agent cannot make

Your agent's authority is limited only by the words of your health care power of attorney or a court order. A surrogate cannot consent to anything you could not lawfully consent to. A surrogate who is not your agent or guardian cannot consent to permanently withdrawing artificial food or fluid.

Law: A.R.S. 36-3223(B); A.R.S. 36-3203

Revoking and conflicting documents

Revoking your agent

You can revoke a health care directive or disqualify a surrogate by a written revocation or statement, by telling your surrogate or a health care provider out loud, by making a new directive, or by any other act that shows you mean to revoke it. A mental health care power of attorney has its own revocation rule.

Law: A.R.S. 36-3285

Revoking your instructions

A living will is revoked the same ways.

Telling others

Tell your agent and your health care providers. If you registered the directive, also update the Arizona Healthcare Directives Registry; failing to tell the registry does not undo a valid revocation.

Law: A.R.S. 36-3293

Law: A.R.S. §§ 36-3202, 36-3293

If you have no directive

Who decides without a directive

If you cannot make or communicate decisions and have no agent or guardian, the provider must try to reach these people in order. If none can be found, your attending physician may decide after consulting an ethics committee or, if that is not possible, a second physician who agrees.

  1. Court-appointed guardian with health care authority (or your health care agent, if you have one)
  2. Spouse, unless legally separated
  3. Adult child (a majority of available adult children if more than one)
  4. Parent
  5. Domestic partner, if you are unmarried
  6. Brother or sister
  7. Close friend who has shown special care and concern and knows your health care views

Law: A.R.S. § 36-3231

Other states, registry and medical orders

Signed in another state

A health care directive made in another U.S. state, district or territory is valid in Arizona if it was valid where and when it was made, to the extent it does not conflict with Arizona criminal law.

Law: A.R.S. 36-3208

Registry

Arizona Healthcare Directives Registry (AzHDR), operated by Health Current for the Arizona Department of Health Services

Fee: Free (AzHDR registration agreement)

POLST (medical orders)

POLST (Physician Orders for Life-Sustaining Treatment), national form, Arizona version; separately, the orange Prehospital Medical Care Directive (Do Not Resuscitate)

Official page

Mental health directive

Arizona has a separate mental health care power of attorney. It must be in writing, dated and signed, and notarized or witnessed by at least one adult. Each paragraph that lets your agent admit you to an inpatient psychiatric facility must be separately initialed. Without one, your health care agent can make mental health decisions with some limits.

Law: A.R.S. 36-3281, 36-3282

Law: A.R.S. §§ 36-3291 to 36-3295

Free notice: revoke or change a health care directive

Names and addresses of people and facilities that should know. They go into your letter only.

Other formats

Sign the letter and keep a copy. This tool does not check whether your document is valid, and it is not legal advice.

Free help in Arizona

Report abuse or exploitation

Arizona Department of Economic Security, Adult Protective Services · 1-877-767-2385

Questions about powers of attorney in Arizona

How do I sign a health care directive in Arizona?

Date and sign the health care power of attorney, then have it either notarized or signed by at least one qualified adult witness who confirms you appeared of sound mind and free from duress. Changes to it must be signed the same way.

Who decides my health care if I have no directive in Arizona?

If you cannot make or communicate decisions and have no agent or guardian, the provider must try to reach these people in order. If none can be found, your attending physician may decide after consulting an ethics committee or, if that is not possible, a second physician who agrees.

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