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Form 470-3951 is a two-way release form used to get the permission of the client or the client's legally authorized representative to: Release health information about the client to a third party.
Iowa Legal Aid provides free legal advice and representation on civil matters to low-income Iowans.
A: The administrator or executor of individual's estate or the individual's personal representative may authorize release of protected health information (PHI) pertaining to the decedent. The following documentation must be received to release the decedent's records: Death certificate.
In May, 1991, a new Iowa law became effective that allows individuals to confer upon an attorney in fact the authority to make medical and health care decisions on behalf of the person granting the powers.
The health care power of attorney allows you to grant to the attorney in fact the authority to make decisions regarding the use of life sustaining procedures.
The POA document must: Name the person authorized to act as your agent. Be signed by you, the principal, or another person in your presence and at your direction. Be acknowledged before a notary public or other individual authorized to take acknowledgements.
A power of attorney must be acknowledged before a notary public or other individual authorized by law to take acknowledgments. An agent named in the power of attorney shall not notarize the principal's signature. An acknowledged signature on a power of attorney is presumed to be genuine.
An Iowa power of attorney lets an individual (?principal?) delegate financial, medical, or other related matters to someone else (the ?agent?) while they are alive. The most common purpose is to prepare for a time when the principal can no longer handle their financial or medical responsibilities themselves.