Utah Advance Health Care Directive
forms and instructions
Utah’s Advance Health Care Directive form is established in statute. A person can create a form that is different from the statutory form, but the law was designed to create a form that would work well for most people. You do not need a lawyer to complete these forms. If you need assistance in completing the form, contact your primary care physician, your local hospital, or Utah Legal Services (any Utah resident age 60 or older can call 800-662-1772 between 9 am and 2 pm for assistance).
The following forms reflect Utah law and are helpful to people who wish to communicate their wishes to families and friends.
Think and Talk About What You Want
Before completing an advance health care directive, you may wish to explore your health care wishes. The Tool Kit can be used to explore your wishes, to test the knowledge of the person you want to name as your Health Care Agent, and to provide instructions to your Health Care Agent.
Create an Advance Health Care Directive
Start by reading detailed instructions with tips about completing the form.
After you have thought about preferences and read the instructions, complete the form.
- Link to the printable Utah Advance Health Care Directive form; print then complete by hand.
- Link to an electronic Utah Advance Health Care Directive form; complete the electronic form on line, print, and initial and sign where necessary.
- Link to the bilingual (English/Spanish) Utah Advance Health Care Directive form. Thanks to Intermountain Healthcare for this translation.
Affordable printed Instruction and Form booklets are available from the Utah Medical Association office at 310 East 4500 South, Suite 500. Call 801.747.3500 or go to www.utahmed.org for further information.
For more information see the FAQ Page
If your question is not on the FAQ page, please send your question to the Director, Maureen Henry, and we will post your question and the answer to the FAQ page.
