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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.

Planning

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.

TOOL KIT

English

View the forms in english.

 

 

 

ELECTRONIC FORM

PRINTABLE

Spanish

Ver los formulario en español.

Imprimir

 

Need Help?

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

Contact

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.


POLST Agreements

Provider Orders for Life-Sustaining Treatment

View form

 

Videos

POLST Training 

Advance Care Planning Overview

Advance Care Planning Advance Directive

 

Advance Care Planning POLST Agreement

 

  

Last Updated: 11/17/20