Idaho health care directive registry - Idaho Secretary of State 2025

1. Click ‘Get Form’ to open the Idaho Health Care Directive Registry in our editor.
2. Begin by selecting your intention: whether you want to store, replace, remove your directive, or request a replacement wallet card. This is crucial for processing your request accurately.
3. Fill in your personal information including First Name, Middle Name, Last Name, Phone Number, Address, Date of Birth, City, State, Zip Code, and County of Residence. Ensure all fields are completed for a smooth submission.
4. If applicable, provide the last four digits of your Social Security Number. This field is optional but can help in identifying your records.
5. Complete the section for the address where you want the wallet card and documents returned if it differs from the above address.
6. Sign and date the Agreement at the bottom. Your signature certifies that you understand and agree to the terms outlined.
7. Once completed, send your form along with your Health Care Directive to the Idaho Secretary of State at the provided address.

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