Advance Care Planning: Arizona Forms

These free forms from the Arizona Attorney General’s Office let you put your wishes in writing. Talk with your doctor, family, or our team if you have questions. We can’t provide legal advice.

Complete Life Care Planning Packet (with orange DNR)


Download form

Print the DNR in color for it to be valid.

Complete Life Care Planning Packet (with white DNR)


Download form

Print the DNR on orange paper for it to be valid.

POLST Form


Download form

For people who are seriously ill or frail and nearing the end of life.

Please note: the Arizona Attorney General’s Office only distributes these forms. It does not accept or store completed ones. Keep copies at home, give copies to your doctor and family, and tell your Bliss nurse where they are.

Important: the Pre-Hospital Medical Directive (Do Not Resuscitate) must be printed on orange paper, or in color on an orange background, to be valid. Show this sentence right next to the DNR links.

Medicare & Benefits

National Organizations

National Hospice and Palliative Care Organization

National nonprofit supporting hospice and palliative care, with free information for patients and families.


Hospice Foundation of America

Education and resources on end-of-life care, caregiving, and grief.


American Academy of Hospice and Palliative Medicine

Professional organization for physicians and clinicians in hospice and palliative medicine.


Hospice and Palliative Nurses Association

Professional association for hospice and palliative nurses.


American Hospice Foundation

Information about hospice, grief, and end-of-life issues.


Links to outside organizations are for information only. Bliss Hospice is not responsible for outside content.

Last reviewed: October, 2026