Arizona Prehospital Medical Care Directive - Do Not Resuscitate Order - Arizona 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the 'Patient' field, followed by the date of signing. This identifies you as the individual making this directive.
3. Attach a recent photograph or provide your date of birth, sex, eye color, hair color, and race in the designated fields. This information helps verify your identity.
4. If applicable, indicate your hospice program by filling in that section. This ensures that your care preferences are known to all involved parties.
5. Next, enter the name and telephone number of your physician. This allows emergency personnel to contact your doctor for further instructions if needed.
6. A licensed health care provider must sign and date the form after explaining its implications to you. Ensure they complete this step for validity.
7. Finally, a witness must sign and date the document confirming they were present when you signed it and that you appeared sound of mind.

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