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Lifecare Planning Forms
You do not need an attorney to help you complete the forms. The forms are available at no cost to you by:
  • Downloading the complete packet or individual forms below.
  • Visiting the Attorney General's Phoenix and Tucson offices, or one of several Satellite Offices for copies.
  • Completing a Life Care Planning request form or calling (602) 542-2123 or (800) 352-8431 to have them mailed to you.
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Lifecare Planning Forms
Form Title May Register Documents
Life Care Planning Forms - Complete Packet
Checklist
Registration Agreement - THIS AGREEMENT MUST BE COMPLETED TO REGISTER YOUR DOCUMENTS ✔
Durable Health Care Power of Attorney ✔
Durable Mental Health Care Power of Attorney ✔
Living Will (End of Life Care) ✔
Prehospital Medical Care Directive (Do Not Resuscitate) - NOTE: THIS FORM MUST BE PRINTED ON ORANGE PAPER TO BE VALID ✔
Physician Orders for Life-Sustaining Treatment (POLST) Form - This form is for when you become seriously ill or frail and toward the end of life.
 
AZ Health Care Directives Registry

You can mail, email or fax copies of the Life Care Planning forms and the registration form to the registry in order to have a centralized location where your relatives, first responders, a hospital, or other healthcare facility can access the forms if they are not readily available.

AZ Healthcare Directives Registry
2901 N. Central Ave. Ste. 1100
Phoenix AZ 85012
Email: [email protected]
Fax: 602-264-8823

EMAIL REGISTRY