Sultan Azlan Shah has contributed significantly in nature and conservation of Belum-Temenggor Forest until the area was gazzeted as state park. Following to that at The Perak Domestic Tourism Exposition in 1992 an orchid was named after His Royal Highness i.e. "Doritinopsis Sultan Azlan Shah" after receiving the best plant award in its section an A new genus of insects Azlania Costatipennis (Jacoby) , Azlania apicalis Mohamedsaid and Azlania borneensis Mohamedsaid were found and named after His Royal Highness The Sultan, being the Patron of The Malaysia Nature Society - Belum Scientific Expedition 1993 - 1994.

The ruler was patron to various organisations, including World Wildlife Fund Malaysia, Malaysian Nature Society,  Perak Society for Promotion of Mental Health, National Cancer Society of Malaysia, Mercy Malaysia, Academy of Medicine of Malaysia, the Perakean League and the Royal Perak Golf Club.