Utah’s Uniform Health Care Decisions Act lets you give advance instructions about mental health care and name an agent to make those decisions during a crisis. Utah’s Uniform Health Care Decisions Act lets you give advance instructions about mental health care and name an agent to make those decisions during a crisis.
For Utah residents and families: advance mental health care directive.
What you'll need
Read the supplied packet before filling in its fields.
Follow this document's signing, identification, witness and filing instructions.
How to complete it
Write your preferences (Pages 1–2) Describe medications, facilities, treatments, and your crisis plan. You may name an agent.
Sign with a witness (Page 2) If you name an agent, Utah requires one qualified adult witness. We recommend also notarizing it, and can provide a witness for an additional fee.
This is Utah’s official optional form under the Uniform Health Care Decisions Act (effective January 1, 2026). It names an agent to make health care decisions if you cannot, and records your wishes about treatment and organ donation.
Utah law lets you name the person who will have the right to make decisions about your funeral, burial, or cremation, ahead of the family members who would otherwise decide.
Federal privacy law (HIPAA) limits who doctors, hospitals, and insurers can talk to about you. This authorization lets the people you name receive your health information so they can help you.
This form lets you tell a Utah court who you want as your guardian (personal care) and conservator (money and property) if you ever become unable to manage your own affairs, and who should never serve.
Use this form to cancel a Utah advance health care directive, including any power of attorney for health care, or an advance mental health care directive.
These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.