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Advanced Care Planning


So, What are Advance Care Forms?

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). 

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Necessary Forms

The following forms reflect Utah law and are helpful to people who wish to communicate their wishes to families and friends.


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.



View the forms in english.







Ver los formulario en español.



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English Instructions

Detailed instructions with tips about completing the form

Read Instructions

Instrucciones en español

Instrucciones detalladas con consejos sobre cómo completar el formulario

lee las instrucciones


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 for further information.

POLST Agreements

Provider Orders for Life-Sustaining Treatment

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POLST Training 

Advance Care Planning Overview

Advance Care Planning Advance Directive


Advance Care Planning POLST Agreement



Last Updated: 2/22/21