An Arizona living will is legal documentation that allows an individual to present a written statement detailing their wishes regarding their medical treatment if their circumstances change and they’re no longer able to give instructions concerning their medical care by themselves. With this documentation, the principal states the choices they desire to express while still of sound mind. A member of your family or friend does not have the legal capability to alter these decisions, so you might want to speak with a qualified attorney, member of the priesthood, and/ or your doctors prior to entering this information into your medical documentation. Download the Arizona Living Will PDF.
Signing Provisions – One (1) Witness or a Notary Public.
Medical Power of Attorney – Enables an individual to select another individual to make health care decisions for them only if the person can’t make the decisions for themselves.
Durable Power of Attorney – Enables an individual to select another individual to make financial decisions for them whenever they wish.
How to Write an Arizona Living Will
Step 1 – The Principal’s Instructions and Information – The Principal, is required to carefully examine the information at the top of the form prior to moving forward. Should the Principal decide that this is, indeed, the form they want to use, in the “My Information” section, they need to start by entering the following information:
- Their Name
- Their Age
- Their Date of Birth
- Their Address
- Their Phone Number
Step 2 – End of Life Care Decisions – Provided in this area are some typical statements regarding the decisions you (Principal) might be interested in making for your health care when your life comes to an end. The Principal needs to review the information in statements letters A through E and initial only the ones you want to be used in an end of life circumstance. If you choose option E, you don’t need to initial any other lines. Go over the statements as detailed on the form, prior to making your selection(s):
- A. Only Comfort Care: If I come down with a terminal condition, I don’t want my life to be extended, and I don’t want life sustaining treatment, outside of comfort care, that serves only to artificially postpone the moment of my passing. (“Comfort care” meaning treatment attempting to safeguard and enhance your quality of life without artificially extending it.)
- B. Specific Limitations on Medical Treatments I Desire: (Initial the choices you wish, speak with your doctor about your decisions.) Should my condition be terminal, or am in an irrecoverable coma or a constant vegetative state that my medical physicians rationally accept to be irrecoverable or terminal, I do want the medical treatments required to offer care that keeps me comfortable, but I don’t want the following:
- 1.) Cardiopulmonary resuscitation, for instance, the administering of drugs, electrical shock, and/ or artificial breathing
- 2.) Artificially provided nutrients and fluids
- 3.) To be taken to a medical facility if it’s at all preventable
- C. Pregnancy: In spite of any other instructions I have given in my Living Will, if I am known to be pregnant I don’t want life sustaining treatment terminated if it’s at all possible the embryo/ fetus will grow to the point of live birthing with the continual administering of life sustaining treatment.
- D. Treatment Before My Medical Condition is Rationally Known: Regardless of the directions I have made in this Living Will, I do want the use of all medical care necessary to treat my condition before my doctors rationally deduct that my condition is terminal or is irrecoverable and terminal, or I am in a constant vegetative state.
- E. Direction to Extend My Life: I want my life to be extended to the greatest degree possible.
Step 3 – Other Statements or Wishes for End of Life Care – Your living will doesn’t have to be as straightforward as what is to be selected inside this form. When you have other desires for your end of life care or how you want to have your medical wishes fulfilled, you can add a sheet with more details. If you decide to make additions make certain to initial A or B so that emphasis is brought to the fact that you have additional information to be examined:
- A. I haven’t attached additional special terms or restrictions about End of Life Care I desire.
- B. I have attached additional special terms or restrictions about End of Life Care I desire.
Step 4 – Principal or Witness Signature – After you have completed the form, indicating by dated signature, that these are your wants and desires for end of life care. If you cannot provide a signature, you can have a witness sign on your behalf:
- A. I am signing this Living Will as follows:
- The Principal’s Signature
- Date Principal’s Signature in mm/dd/yyyy layout
- B. I am physically incapable to sign my Living Will, so my witness is confirming my wishes as follows:
- The witness must examine thoroughly the Witness Verification portion. If in accord with all declarations, the witness needs to enter the following:
- Witness’ Signature
- Date of witness’ signature in mm/dd/yyyy layout
Step 5 – Notarization – After the notary public has witnessed the signings of the Principal or Witness, the notary needs to carefully examine the “Witness” portion prior to notarization. If the notary public is in accord with all of the declarations, the notary will then complete the final part of the document(s) and verify it by attaching the Arizona state seal.
- “Arizona Living Will Form.” EForms, eforms.com/living-will/arizona-living-will-form/.
Moshier Law Offers Estate Planning in Scottsdale, AZ
Divorce and Family Law
When a case demands litigation, you’ll have the benefit of 19 years of litigation experience in California and Arizona. But when a case demands collaborative law or mediation, you’ll know every option.