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Utah Advance Directive Form

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Updated August 21, 2025

A Utah advance directive lets a person select an agent to make healthcare decisions on their behalf if they cannot speak for themselves. The advance directive also allows a person to outline their treatment preferences in the final stages of life.

Versions (2)

Utah.edu Version

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Spanish (Español) Version

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Registration

No registry. After creating an advance directive, the individual should provide copies to their family members and healthcare provider.

Revocation

The declarant can revoke their advance directive at any time by creating an oral or written revocation, writing “void” across the top of the original document or otherwise destroying it, or executing a new advance directive.[2]

State Definition

“Advance directive” means a designation of an agent to make health care decisions for an adult when the adult cannot make or communicate health care decisions, or an expression of preferences about health care decisions.[3]

Statutory Form

An optional form of an advance directive is made available by Utah state law, but its use is not legally required.[4]

Sample

Download: PDF