Iowa Living Will Form

Iowa Living Will Form

Last updated August 18th, 2022

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The Iowa living will form is used to communicates 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. If the principal has any additional health care instructions, they may include them in the form as well.

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.