This version of the form is not currently in use and is provided for reference only. Download this version of DNR Form 542-3221 for the current year.
This is a legal form that was released by the Iowa Department of Natural Resources - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DNR Form 542-3221 Treatment Agreement Form?
A: The DNR Form 542-3221 Treatment Agreement Form is a document used in Iowa to express an individual's treatment preferences and decisions regarding cardiopulmonary resuscitation (CPR) and other life-sustaining treatments.
Q: What is the purpose of the DNR Form 542-3221 Treatment Agreement Form?
A: The purpose of the DNR Form 542-3221 Treatment Agreement Form is to ensure that an individual's healthcare wishes are respected, specifically in situations where they may not have the ability to communicate their preferences.
Q: Who can fill out the DNR Form 542-3221 Treatment Agreement Form?
A: The DNR Form 542-3221 Treatment Agreement Form can be filled out by an adult individual who wants to make their treatment preferences known, or by their designated healthcare agent or legal representative.
Q: What information is included in the DNR Form 542-3221 Treatment Agreement Form?
A: The DNR Form 542-3221 Treatment Agreement Form includes personal information about the individual, their treatment preferences, and signatures from the individual or their legal representative.
Q: Is the DNR Form 542-3221 Treatment Agreement Form legally binding?
A: Yes, the DNR Form 542-3221 Treatment Agreement Form is legally binding as long as it is completed correctly and in accordance with Iowa law.
Q: Can the DNR Form 542-3221 Treatment Agreement Form be revised or revoked?
A: Yes, the DNR Form 542-3221 Treatment Agreement Form can be revised or revoked at any time, as long as the revised or revoked form is completed and signed by the individual or their legal representative.
Q: Can the DNR Form 542-3221 Treatment Agreement Form be honored outside of Iowa?
A: The DNR Form 542-3221 Treatment Agreement Form may not be honored outside of Iowa, as it is specific to Iowa law. It is important to check with healthcare providers in other states to ensure that your treatment preferences are known and respected.
Form Details:
Download a fillable version of DNR Form 542-3221 by clicking the link below or browse more documents and templates provided by the Iowa Department of Natural Resources.