Contexture Upgrades to Unified HIE Technology Platform for Improved Interoperability in Arizona and Colorado.

Arizona Healthcare Directives Registry Interest Form

Arizona Healthcare Directives Registry Interest Formcody@sharpguyswebdesign.com2023-01-18T22:57:41-07:00

Sign up below to learn more about the Arizona Healthcare Directives Registry (AzHDR).

The AzHDR is a secure online system that provides a safe place to store and make accessible Arizonans’ advance directives so end-of-life care will be guided by one’s wishes. The registry is free to Arizona residents, provides peace of mind to registrants and offers easy access to healthcare providers.

Name(Required)

First Last

Organization Name(Required)

Organization Type(Required)

Other Organization Type (if not listed above)(Required)

Professional Title(Required)

Please select which option applies to you:(Required)

Phone(Required)

Email(Required)

Address

Street Address Address Line 2 City State ZIP Code

Preferred Contact Method(Required)

Phone

Mail

CAPTCHA

Contexture is a nonprofit organization that provides strategic, technical and administrative support to communities committed to advancing health through information sharing.