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In Arizona, the Living Will form is an important document that allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate their preferences. This form provides clarity during difficult times, ensuring that healthcare providers and loved ones understand the individual's desires about life-sustaining measures. It typically covers various medical scenarios, such as terminal illness or irreversible conditions, where the person may wish to refuse or accept specific treatments. By completing this form, individuals can designate their preferences for interventions like resuscitation, mechanical ventilation, and feeding tubes. Additionally, it is crucial to discuss these wishes with family members and healthcare providers to ensure everyone is on the same page. Having a Living Will in place can relieve family members from the burden of making tough decisions during emotionally challenging moments. Ultimately, this form empowers individuals to maintain control over their medical care, even when they cannot voice their choices directly.

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Dos and Don'ts

When filling out the Arizona Living Will form, it’s important to be careful and thorough. Here are some key dos and don’ts to keep in mind:

  • Do clearly state your medical preferences regarding end-of-life care.
  • Do ensure you are of sound mind when completing the form.
  • Do sign and date the document in the presence of a witness.
  • Do discuss your wishes with family members and your healthcare provider.
  • Don't leave any sections blank; fill out all applicable areas.
  • Don't use vague language that could lead to confusion about your wishes.

Arizona Living Will Sample

Arizona Living Will

This is a Living Will in accordance with the laws of Arizona. It details your healthcare wishes if you are unable to communicate them yourself.

Personal Information

  • Name: __________________________
  • Date of Birth: __________________
  • Address: ________________________
  • City: ___________________________
  • State: ___________ Zip Code: ______

Healthcare Agent

I designate the following person as my healthcare agent:

  • Name: __________________________
  • Phone Number: __________________
  • Address: ________________________

Wishes Regarding Medical Treatment

In the event I am unable to make my own medical decisions, I express my wishes as follows:

  1. If I am diagnosed with a terminal condition, I do not want life-sustaining treatment if it only prolongs the dying process.
  2. If I am in a persistent vegetative state and cannot recover, I do not want life-sustaining treatment.
  3. If I have a serious injury, I wish to receive care that aligns with my values and goals.

Signature and Acknowledgment

By signing below, I confirm that I understand this document and its implications. I sign it voluntarily without any pressure.

Signature: __________________________

Date: ______________________________

Witness: _____________________________

Date: ______________________________

Witness: _____________________________

Date: ______________________________

Listed Questions and Answers

  1. What is a Living Will in Arizona?

    A Living Will is a legal document that outlines your preferences for medical treatment in case you become unable to communicate your wishes due to a serious illness or injury. It specifically addresses situations where you may be terminally ill or in a persistent vegetative state. By creating this document, you ensure that your healthcare providers and loved ones understand your desires regarding life-sustaining treatments.

  2. Who can create a Living Will in Arizona?

    Any adult who is at least 18 years old and of sound mind can create a Living Will in Arizona. This means you should be able to understand the nature and consequences of your decisions. It is important to consider your values and beliefs when drafting this document, as it reflects your personal choices regarding medical care.

  3. How do I create a Living Will in Arizona?

    To create a Living Will in Arizona, you can either use a standardized form or draft your own document. It is advisable to include specific instructions about the types of medical treatments you do or do not want. Once you have completed the document, you must sign it in the presence of two witnesses or a notary public. This step is crucial, as it helps ensure the validity of your Living Will.

  4. Can I change or revoke my Living Will?

    Yes, you have the right to change or revoke your Living Will at any time, as long as you are mentally competent. To revoke the document, you can simply destroy it or create a new one that explicitly states your current wishes. It is wise to inform your healthcare providers and loved ones about any changes to ensure they are aware of your updated preferences.

  5. What happens if I do not have a Living Will?

    If you do not have a Living Will, medical decisions may be made on your behalf by your family members or legal representatives. This can lead to uncertainty and potential disagreements about your care. Having a Living Will helps avoid confusion and ensures that your wishes are respected, even when you cannot voice them yourself.

PDF Characteristics

Fact Name Details
Purpose A Living Will outlines a person's wishes regarding medical treatment in case they become incapacitated.
Governing Law The Arizona Living Will is governed by Arizona Revised Statutes § 36-3201 to § 36-3210.
Eligibility Any adult who is at least 18 years old can create a Living Will in Arizona.
Signature Requirement The form must be signed by the individual or by someone at their direction and in their presence.
Witnesses Two witnesses are required to sign the Living Will. They must be at least 18 years old and cannot be related to the individual.
Revocation A Living Will can be revoked at any time by the individual, either verbally or in writing.
Durability The Living Will remains effective until revoked or the individual passes away.
Healthcare Proxy A Living Will does not appoint a healthcare proxy; a separate document is needed for that purpose.