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Arizona Health Care Power of Attorney

In Arizona, the document that names someone to make medical decisions for you when you cannot speak for yourself is called a health care power of attorney. Elsewhere it goes by medical power of attorney or advance directive agent designation: same role, local name. In Arizona, a health care power of attorney generally must be either acknowledged before a notary public or signed by one witness (Ariz. Rev. Stat. 36-3221).

This template walks you through naming your agent and an alternate, describing the authority you grant, and signing it the way Arizona expects. Download the finished document in Word and PDF.

Arizona signing requirements

Arizona health care power of attorney signing requirements at a glance
NotarizationNotary or one witness (either satisfies the statute)
WitnessesOne witness as the alternative to notarization
StatuteAriz. Rev. Stat. 36-3221

Verify before you rely on it

Power of attorney statutes change, and banks, hospitals, and county recorders can have their own acceptance practices. Confirm the current Arizona requirement in the statute cited above (or with your state's self-help resources) before signing your health care power of attorney.

How this template works in Arizona

Answer guided questions about the principal, the agent, and the powers you grant, and the document writes itself in front of you. Then sign it following the Arizona requirements above and download it in Word and PDF.

The form, the live preview, and the full guide live on the main Medical Power of Attorney page.

Other power of attorney forms for Arizona

Not sure this is the right variant? Each one solves a different problem: general authority, authority that survives incapacity, medical decisions, or a single defined task.

Medical Power of Attorney in other states