Form · Advance care · IA

Iowa advance directive form

The state's own form, from Iowa Legislature (Iowa Code). Rivvi links it; we do not host or change it. Not legal advice.

Quick answer

Iowa's advance directive form is the 144A.3 Declaration relating to use of life-sustaining procedures (statutory form), from Iowa Legislature (Iowa Code). Iowa publishes a separate health care agent form: 144B.5 Durable power of attorney for health care: form. Open the state form

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The state form

Form: 144A.3 Declaration relating to use of life-sustaining procedures (statutory form)
Publisher: Iowa Legislature (Iowa Code)
Law: Iowa Code § 144A.3
Form link: www.legis.iowa.gov/docs/code/144A.3.pdf
Health care agent form: 144B.5 Durable power of attorney for health care: form
Signing (per the source): Signed by at least two witnesses (in presence of each other and the declarant), or acknowledged before a notarial officer (Iowa Code § 144A.3)
Link checked: October 23, 2026

Questions

Where do I get Iowa's advance directive form?

Iowa Legislature (Iowa Code) publishes it: 144A.3 Declaration relating to use of life-sustaining procedures (statutory form). The link on this page goes to the state's copy (checked October 23, 2026).

Does Iowa have a medical power of attorney form?

Iowa publishes a separate health care agent form: 144B.5 Durable power of attorney for health care: form.

Does a Iowa advance directive need witnesses or a notary?

Per the state source: Signed by at least two witnesses (in presence of each other and the declarant), or acknowledged before a notarial officer (Iowa Code § 144A.3). Read the form's own signing instructions before you sign.