How to use or fill out Iowa State Bar Association Form 123 with DocHub
- Click ‘Get Form’ to open it in the editor.
- Begin with the 'Declaration Relating to Life-Sustaining Procedures' section. Clearly state your wishes regarding life-sustaining treatments if you are unable to communicate. Use the text box provided to add any specific instructions in the 'Additional Provisions' area.
- In the 'Power of Attorney for Health Care Decisions' section, fill in your name and date of birth, followed by the name and contact details of your designated agent. Ensure that this person is someone you trust to make health care decisions on your behalf.
- If applicable, designate an alternate agent in case your primary agent is unable to serve. Provide their details in the specified fields.
- Review all entries for accuracy before signing. Remember, this document must be signed or acknowledged before a notary public or two witnesses as indicated at the end of the form.
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