Iowa Advance Directive Form [PDF]

The term “advance directive for health care” is not legally defined in Iowa. Instead, the law recognizes it as a durable power of attorney for health care (medical power of attorney).

This legal document allows the principal (the individual creating it) to appoint a specific person to make medical decisions on their behalf in case of incapacity. A related document, a living will, is part of the broader advance care planning framework specifying the principal life-sustaining measures that should be taken when they reach a specific medical condition and are unable to express their wishes directly.

Signing Requirements for Iowa Advance Health Care Directive

The signing requirements for Iowa health care advance directive are outlined in Iowa Code, Section 144B.3, and they include the following:

Iowa Advance Health Care Directive Revocation & Changing

Iowa advance directive becomes effective once it’s signed and communicated to your health care providers. On the other hand, as stated in Section 144B.8, you can revoke or change health care advance directive at any time, regardless of your mental or physical condition, by informing your agent or health care provider, either orally or in writing.

The revocation takes effect when the health care provider receives the notice and documents it in your medical records. Additionally, a new advance directive automatically cancels any prior one unless stated otherwise in the new document.

Additional Legal Considerations for the Iowa Advance Health Care Directive

Section 144B.6 says that an agent has priority in making health care decisions over others, even a court-appointed guardian, as long as they are available and willing to act according to the principal's wishes. Additionally, an agent has the same rights as a principal to receive and review their medical records.

According to Section 144B.11, no one can be forced to sign an advance directive form to receive medical treatment or insurance. This provision also protects life insurance policies from being affected if health care is withheld or withdrawn based on agent decisions.

How to Choose a Health Care Agent in Iowa

When choosing an Iowa health care proxy (agent), you must select someone who is at least 18 years old and capable of making medical decisions on your behalf. It’s important to choose someone you trust—someone who understands your values and is willing to act as your agent.

The person should be reliable, able to handle stress, and communicate with medical staff. On the other hand, Section 144B.4 does not allow your health care provider, such as a doctor or nurse involved in your case, to act as your agent unless they are a family member.

What Happens if You Don’t Have an Advance Directive in Iowa?

If you don’t have an advance directive for health care in Iowa, decisions about your medical care will be made by your family members or a court-appointed guardian. However, this could lead to confusion or disagreements among them as they may have different opinions about your care.

Also, without an advance directive, health care providers will follow standard medical practices, which may not reflect your personal preferences. That’s why it’s vital to include an advance directive in your advance care planning, ensuring your wishes are known and followed.