Iowa Living Will Form

Iowa Living Will Form

The Iowa living will form is used to communicate the principal’s wishes regarding life-prolonging procedures and is included in their medical record to be referred to if they are incapacitated. The document provides the principal with the assurance that their end-of-life treatment preferences will be respected in the event of their physical or mental incapacitation.

Last updated May 14th, 2025

The Iowa living will form is used to communicate the principal’s wishes regarding life-prolonging procedures and is included in their medical record to be referred to if they are incapacitated. The document provides the principal with the assurance that their end-of-life treatment preferences will be respected in the event of their physical or mental incapacitation.

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Laws§ 144A.3

Signing Requirements (§ 144A.3(2)) – Two (2) Adult Witnesses or Notary Public; at least one (1) witness cannot be related by blood, marriage, or adoption to the declarant. Furthermore, neither witness may be an attending health care provider or employee.

Statutory Form§ 144A.3(5)


State Definition

Statute§ 144A.2(3)

“Declaration” means a document executed in accordance with the requirements of section 144A.3.