Filling an Arizona medical POA form is easy. Here’s how to fill it.
Step 1. Open the forms after the principal gathers and organizes any extra paperwork and then save it.
Step 2. Fill the form with all the necessary details as the would-be principal. Fill out your name, address, age, telephone, and date of birth.
Step 3. Identify your chosen agent and supply their contact details. Fill out their name, address, and phone number.
Step 4. Read the third item and then fill out all the necessary details. Write any limitation, restriction, condition, or specification regarding your agent’s authority. This way, you save yourself unnecessary problems arising from ambiguity and abuse of power.
Step 5. You may give your preferences regarding your autopsy. Here, specify if you want your body to undergo an autopsy because the procedure’s voluntary in Arizona. You may indicate the following:
- You don’t consent to a voluntary autopsy;
- You consent to a voluntary autopsy;
- Your agent may consent to or refuse your body to undergo an autopsy.
Step 6. Specify if you want to donate your body organs or not. If you don’t want to donate your body organs, mark the form’s part A. Mark part B if you wish to donate your body organs. If you choose to donate your body parts, fill the form to specify if you donate your entire body, only needed body parts, or specific body parts you wish to donate. Also, specify why you want to donate your body parts and to which organization.
Step 7. Specify how you want your body to be laid to rest. You can either choose cremation or burial. If you opt for a burial, place your initials at the first statement in the form. Opting for cremation requires you to place your initials next to the second statement. Note, your body will be cremated if you opted to donate all of it.
Step 8. Attach your living will to this form if you have one. Otherwise, you must indicate that you haven’t signed any.
Step 9. Indicate your resuscitation instructions if you have signed a “Do Not Resuscitate” directive. Attach it and place your initials next to option A on the form if you have. Otherwise, tick option B.
Step 10. Place your initials on the blank line on the form if you wish to authorize your agent to have the same rights concerning disclosing and using the HIPPA Act.
Step 11. Sign a blank line named “My Signature,” and then write the date you signed the document. If you can’t sign, one of your witnesses may sign for you to validate it.
Step 12. Another witness should print their name on the form, date, and sign it to verify the POA. Afterward, a notary public will stamp and notarize it.
Step 13. A doctor should also print their name on the form and sign it.