Arizona Mobile Notary Services
Servicing The Greater Phoenix Area
and All of Maricopa County

 Your Life Care Planning Checklist-
This document lists out all the forms in the packet so that you can check off which ones you have completed. If you wish to register your documents with the Arizona Health Care Directives Registry, the checklist will let you know which forms are accepted. Upon completion of your Online Notarization, you will be asked if you would like for your Notary to file the forms for you via email. 

 Registration Agreement-
This form allows you to register the documents with the Arizona Department of Health
 
 Health Care Power of Attorney-
This form allows you to select a person to make future medical decisions for you if you become too ill to communicate or cannot make those decisions for yourself.

Living Will- 
This form allows you to list out the type of medical treatments you do or do not want for your end-of-life care. It should go with your Health Care Power of Attorney form, so your agent knows your wishes.
 
Mental Health Care Power of Attorney-
This form allows you to select a person to make future mental health care decisions for you in case you become incapable of making those decisions for yourself.
 
 Prehospital Medical Care Directives (Do Not Resuscitate)-
This form needs to be on orange paper and should be signed by you and your doctor. It informs emergency medical technicians (EMTs) or first responders not to resuscitate you. Sometimes this is called a DNR – Do Not Resuscitate. Please note this is valid prior to going to a hospital, if admitted to a hospital they may require you to fill out another form for their hospital.  Registration Agreement o If you would like to register your documents with the Arizona Health Care Directives Registry, you MUST fill out this form and submit it with your documents. PLEASE NOTE THAT THIS DOCUMENT MUST BE PRINTED ON BRIGHT ORANGE PAPER AS IT APPEARS ON SCREEN. YOU MAY WATCH THE VIDEO ABOUT THIS DOCUMENT HERE: