Living Will

In a living will, you tell others about healthcare you want or do not want if you are unable to make your own healthcare decisions. For example, a living will can say whether you would want to be fed through a tube if you were in a coma and unlikely to recover.

Download one of the following formats:

Living Will form (MS Word 37 KB)
Living Will form (PDF 19 KB)

If you have any questions, please send an email.

HEALTHCARE DIRECTIVES FORMS

► Healthcare Directives Information

► Healthcare Power of Attorney

► Living Will

► Mental Healthcare Power of Attorney

► Arizona State Registry Program*

*Arizona State Registry offers online registration for your healthcare/ advanced directives.

| NORTHERN ARIZONA HEALTHCARE HOME PAGE | SITE MAP | NAH PRIVACY POLICY |

Northern Arizona Healthcare - 1200 N. Beaver St., Flagstaff, Ariz. 86001 - 928 779-3366
Flagstaff Medical Center - 1200 N. Beaver St., Flagstaff, Ariz. 86001 - 928 779-3366
Verde Valley Medical Center - 269 S. Candy Lane, Cottonwood, Ariz. 86326 - 928 639-6000
VVMC - Sedona Campus - 3700 W. Highway 89A, Sedona, Ariz., 86336 - 928 204-3000