Free Iowa Medical Power of Attorney Form | PDF

Iowa Medical Power of Attorney Form

An Iowa Medical Power of Attorney, or as the state labels it, the “Durable Power of Attorney for Health Care,” generates an official record of the assignment of a proxy to handle any affairs related to the executor’s healthcare. This will usually only take effect once the principal has been deemed incapacitated by an attending physician unless otherwise specified within the instrument.

Last updated October 23rd, 2024

An Iowa Medical Power of Attorney, or as the state labels it, the “Durable Power of Attorney for Health Care,” generates an official record of the assignment of a proxy to handle any affairs related to the executor’s healthcare. This will usually only take effect once the principal has been deemed incapacitated by an attending physician unless otherwise specified within the instrument.

Laws

Statutes – Iowa Durable Power of Attorney for Health Care (Chapter 144B)

Definition – “Durable power of attorney for health care” means a document authorizing an attorney-in-fact to make health care decisions for the principal if the principal is unable, in the judgment of the attending physician, to make health care decisions (§ 144B.1).

Statutory Form – § 144B.5

Signing Requirements – Acknowledgment of Two (2) Witnesses or Notary Public (§ 144B.3)

Revocation – § 144B.8

Other Versions (3)

Archdiocese of Dubuque
Honoring Your Wishes
Iowa Legal Aid

Archdiocese of Dubuque Version

Download: Adobe PDF, MS Word (.docx)

Honoring Your Wishes Version

Download: Adobe PDF

Iowa Legal Aid Version

Download: Adobe PDF

Additional Resources

Drake Center for Health Issues – Advance Directive Guide (in Spanish/en Español)
Health Alliance – Planning Ahead Brochure
Iowa State Bar Association – Advance Directives for Health Care
UnityPoint Health – Information About Advance Directives for Iowa Residents

Related Forms (7)

Advance Directive (Medical POA & Living Will)
Advance Directive for Mental Health Care
Advance Directive Wallet Cards
Do-Not-Resuscitate (DNR) Order Form
Durable (Financial) Power of Attorney
Organ Donation Form
Physician Orders for Scope of Treatment – POST Form

Advance Directive (Medical POA & Living Will)

Download: Adobe PDF

Advance Directive for Mental Health Care

Download: Adobe PDF

Advance Directive Wallet Cards

Download: Adobe PDF

Do-Not-Resuscitate (DNR) Order Form

Download: Adobe PDF
Laws: § 144A.7A

Durable (Financial) Power of Attorney

Download: Adobe PDF

Organ Donation Form

Download: Adobe PDF

Physician Orders for Scope of Treatment – POST Form

Download: Adobe PDF
Laws: Chapter 144D

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