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THE IOWA STATE BAR ASSOCIATION Official Form No. 123FOR THE LEGAL EFFECT OF THE USE OF THIS FORM, CONSULT YOUR LAWYERDECLARATION RELATING TO LIFESUSTAINING PROCEDURES (Living Will) AND DURABLE POWER

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How to fill out declaration relating to life-sustaining

01

Start by gathering all relevant information and documents related to your life-sustaining needs.

02

Carefully read through the declaration form and instructions provided by the relevant authority.

03

Fill out your personal details accurately, including your name, address, and contact information.

04

Identify the specific life-sustaining treatment or intervention you wish to receive or refuse.

05

Clearly state your preferences and instructions regarding the selected treatment or intervention.

06

Provide any additional information or special requests that may be relevant to your situation.

07

Review the completed declaration form thoroughly for any errors or omissions.

08

Sign and date the declaration form in the designated areas.

09

If required, have the declaration form witnessed or notarized according to the specified requirements.

10

Make copies of the completed declaration for your records and distribute them to relevant parties, such as your healthcare provider and designated decision-makers.

Who needs declaration relating to life-sustaining?

01

Any person who wishes to have control over their life-sustaining treatment options should consider filling out a declaration relating to life-sustaining. This includes individuals who have specific treatment preferences, those with chronic or terminal illnesses, elderly individuals, or anyone concerned about their future medical care.

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What is declaration relating to life-sustaining?

Declaration relating to life-sustaining is a legal document that expresses an individual's wishes regarding life-sustaining medical treatments.

Who is required to file declaration relating to life-sustaining?

Any adult individual who wants to ensure their wishes regarding life-sustaining medical treatment are followed.

How to fill out declaration relating to life-sustaining?

The declaration can be filled out with the assistance of a lawyer or healthcare provider, and must be signed in the presence of witnesses.

What is the purpose of declaration relating to life-sustaining?

The purpose of the declaration is to provide guidance to healthcare providers and family members on an individual's preferences for life-sustaining treatment if they become unable to communicate.

What information must be reported on declaration relating to life-sustaining?

The declaration should include specific instructions on the use of life-sustaining treatments such as artificial nutrition and hydration, resuscitation, and mechanical ventilation.

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