Homepage Printable Living Will Document for Iowa State

Things You Should Know About This Form

What is an Iowa Living Will?

An Iowa Living Will is a legal document that allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate those wishes themselves. It specifically addresses situations where a person is terminally ill or in a persistent vegetative state.

Who can create an Iowa Living Will?

Any adult resident of Iowa who is at least 18 years old can create a Living Will. It is important to ensure that the individual is of sound mind when completing the document, as this confirms their understanding of the choices being made.

What should be included in an Iowa Living Will?

A Living Will should clearly outline your preferences regarding medical treatments, including:

  • Use of life-sustaining treatments
  • Resuscitation efforts
  • Artificial nutrition and hydration
  • Organ donation preferences

Be specific about your wishes to avoid confusion later on.

How do I complete an Iowa Living Will?

To complete an Iowa Living Will, follow these steps:

  1. Obtain the Iowa Living Will form, which can be found online or through legal offices.
  2. Fill out the form, clearly stating your medical preferences.
  3. Sign the document in the presence of two witnesses or a notary public to validate it.

Make sure to keep copies for yourself and share them with your healthcare provider and family members.

Can I change or revoke my Living Will?

Yes, you can change or revoke your Living Will at any time, as long as you are of sound mind. To do this, simply create a new Living Will that supersedes the previous one or provide a written notice stating your intention to revoke it. Inform your healthcare provider and any family members of the changes.

What happens if I do not have a Living Will?

If you do not have a Living Will, medical decisions may be made by family members or medical professionals based on what they believe your wishes would be. This can lead to confusion and conflict among family members during a difficult time.

Is a Living Will the same as a Power of Attorney for Healthcare?

No, a Living Will and a Power of Attorney for Healthcare serve different purposes. A Living Will specifies your wishes regarding medical treatment, while a Power of Attorney designates someone to make healthcare decisions on your behalf if you are unable to do so. It is often advisable to have both documents in place for comprehensive healthcare planning.

File Data

Fact Name Description
Purpose The Iowa Living Will form allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate their preferences.
Governing Law The Iowa Living Will is governed by Iowa Code Chapter 144A, which outlines the legal framework for advance directives in the state.
Eligibility Any competent adult aged 18 or older can create a Living Will in Iowa to ensure their healthcare preferences are respected.
Signature Requirements The form must be signed by the individual or by another person at their direction, and it should be witnessed by two individuals who are not related to the individual or beneficiaries.
Revocation Individuals have the right to revoke their Living Will at any time, either verbally or in writing, as long as they are competent to do so.
Healthcare Provider Obligations Healthcare providers are required to comply with the wishes expressed in a Living Will, as long as the document is valid and the individual is unable to communicate.

Key takeaways

Filling out and using the Iowa Living Will form is an important step in planning for future healthcare decisions. Here are some key takeaways to consider:

  • Understand the Purpose: The Iowa Living Will allows individuals to express their wishes regarding medical treatment in case they become unable to communicate those wishes themselves.
  • Eligibility: To complete the form, you must be at least 18 years old and of sound mind. It’s important to ensure that you meet these criteria before filling out the document.
  • Specific Instructions: Clearly outline your preferences regarding life-sustaining treatments, such as resuscitation, mechanical ventilation, and feeding tubes. Being specific helps ensure that your wishes are followed.
  • Review and Update: Regularly review your Living Will to ensure it reflects your current wishes. Changes in health status or personal beliefs may prompt updates to the document.

Sample - Iowa Living Will Form

Iowa Living Will

This Living Will is made in accordance with Iowa state law. It expresses your wishes regarding medical treatment in the event that you become unable to communicate those wishes yourself.

Personal Information

  • Name: ______________________
  • Date of Birth: _______________
  • Address: ____________________
  • City: ________________________
  • State: ______________________
  • ZIP Code: _____________________

Declarant's Wishes

If I am diagnosed with a terminal condition or a permanently unconscious state, I wish to provide the following instructions regarding my medical care:

  1. If I am unable to make medical decisions, I do not want life-sustaining treatment, including artificial nutrition and hydration, if:
    • My condition is irreversible, or
    • There is no reasonable expectation of recovery.
  2. If I am in a state of persistent unconsciousness, I do not wish to receive treatments that will prolong the dying process.
  3. I consent to receive only comfort care to keep me comfortable in my final days.

Designated Health Care Agent

I designate the following person as my health care agent:

  • Name: ______________________
  • Phone Number: ______________
  • Address: ____________________

This agent is authorized to make health care decisions on my behalf if I am unable to do so. I trust that they will act in my best interests and according to my wishes.

Signature

By signing below, I affirm that I am of sound mind and understand the nature of this Living Will:

  • Signature: _____________________
  • Date: _________________________

Witnesses

Two witnesses must sign below to confirm that this Living Will was signed voluntarily and that the declarant appeared to be of sound mind.

  • Witness 1: ____________________
  • Date: ________________________
  • Witness 2: ____________________
  • Date: ________________________

Similar forms

The Iowa Living Will form is similar to a Healthcare Power of Attorney. Both documents are designed to address medical decisions when a person is unable to communicate their wishes. While a Living Will outlines specific medical treatments a person does or does not want, a Healthcare Power of Attorney appoints someone to make those decisions on their behalf. This means that while a Living Will provides guidance, the Healthcare Power of Attorney allows for flexibility based on the situation at hand, as the appointed individual can interpret the patient's wishes in real-time.

Another document that shares similarities with the Iowa Living Will is the Advance Directive. An Advance Directive is a broader term that encompasses both Living Wills and Healthcare Powers of Attorney. It serves as a comprehensive guide for healthcare providers and family members regarding a person’s preferences for medical treatment. Like the Living Will, it addresses end-of-life care and can help prevent confusion during difficult times. The main difference lies in the fact that an Advance Directive can include both written instructions and appointed agents.

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The Do Not Resuscitate (DNR) order is also comparable to the Iowa Living Will. A DNR is a specific type of medical order that instructs healthcare providers not to perform CPR if a person's heart stops beating. While a Living Will covers a range of medical decisions, a DNR focuses solely on resuscitation efforts. Both documents aim to honor a person's wishes regarding their medical care, particularly in life-threatening situations.

Similarly, a Physician Orders for Life-Sustaining Treatment (POLST) form is akin to the Iowa Living Will. The POLST is a medical order that translates a patient’s preferences into actionable orders for healthcare providers. It is often used for individuals with serious illnesses or those nearing the end of life. Like the Living Will, it addresses specific medical interventions but is designed to be used in conjunction with ongoing medical care, ensuring that the patient’s wishes are respected in various healthcare settings.

Lastly, the Mental Health Advance Directive is another document that shares a connection with the Iowa Living Will. This directive allows individuals to outline their preferences for mental health treatment in case they become unable to make decisions during a mental health crisis. Similar to a Living Will, it provides guidance to healthcare providers and family members about the individual’s wishes. However, it specifically addresses mental health care, focusing on treatment options and interventions that align with the person's values and preferences.