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Apostille from the Utah Lieutenant Governor's Office

Advance Mental Health Care Directive - Utah

Utah · Fillable PDF · Free

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.

Download Advance Mental Health Care Directive - Utah PDF · 4 pages. No account required.

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Who this form is for

  • 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

  1. Write your preferences (Pages 1–2) Describe medications, facilities, treatments, and your crisis plan. You may name an agent.
  2. 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.

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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.

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