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Download this Utah Advance Directive form also known as an advance health care directive, which allows you to choose a trusted representative to make decisions for you and lets you designate your wishes and desires for healthcare treatment in the event you become incapacitated.


In Utah, “Advance health care directive”:(a) includes: (i) a designation of an agent to make health care decisions for an adult when the adult cannot make or communicate health care decisions; or (ii) an expression of preferences about health care decisions; (b) may take one of the following forms: (i) a written document, voluntarily executed by an adult in accordance with the requirements of this chapter; or (ii) a witnessed oral statement, made in accordance with the requirements of this chapter; and (c) does not include a life with dignity order. UT ST § 75-2a-103