Healthcare power of attorney

In a healthcare power of attorney, you name an adult to make healthcare decisions for you. That person will make healthcare decisions for you only when you cannot make or communicate those decisions yourself.

Download one of the following formats:

 Healthcare power of attorney form (MS Word 38 KB)
 Healthcare power of attorney form (PDF 30 KB)

If you have any questions, please send an email.

|   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