Medical Power Of Attorney Arizona Form

Arizona power of attorney forms.
Medical power of attorney arizona form. Our secure and confidential program grants peace of mind to registrants and their families and easy access to all health care providers. Page 1 of 5 general instructions. Sample health care power of attorney. The following form is offered as a sample only and does not prevent a person from using other language or another form.
The situation that would require this could be due to any type of incapacitation events such as a coma vegetative state or any type of mental. Arizona power of attorney allows an individual principal to appoint a legal representative agent or attorney in fact to operate on their behalf. Arizona does not provide a specific medical power of attorney instead these powers are granted through a durable power of attorney although the principal may revise this document to cover specific health care power of attorney needs. A medical power of attorney form also known as an advance directive or health care proxy is a form that allows a person to elect someone else to handle health care decisions on their behalf only if they are not able to do so themselves.
The court assumes no responsibility and accepts no liability tor actions taken by the users of these documents including reliance on their contents. The arizona advance directive registry is a free registry to electronically store and access your medical directives. In medical power of attorney documents the principal usually. Any writing that meets the requirements of section 36 3221 may be used to create a health care power of attorney.
Health care power of attorney. Use this durable health care power of attorney form if you want to select a person to. The document also allows the principal to list powers they are not authorized to perform. The decisions that the agent will have authority to make will vary depending on the type of poa form signed and the scope of power assigned within the legal document.
Durable health care power of attorney updated 03 18 sec. Users have permission to use the files forms and information for any lawful purpose. The files and forms are not intended to be used to engage in the unauthorized practice of law.