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Doctor Directive: Place Important Estate Planning Documents on File

Estates & Estate Planning, Powers of Attorney, Wills, Trusts & Estates
doctor and patient

Back before COVID-19 made its way to Iowa I had an appointment at the University of Iowa Hospital. Don’t worry, it was nothing serious. Beyond the facility, technology, and the clearly talented health care providers, what impressed me most was the nurse asked if I had a health care power of attorney and/or living will and if I had them on file there. Of course, I got quite excited that the hospital is putting this important part of estate planning front and center as a part of the checkup where they take your vitals and such.

Now, with a pandemic front and center, this often overlooked step in estate planning is more salient than ever. In case you don’t have a helpful nurse to prompt you to take this important step, allow me to issue the reminder.

Once your estate plan is executed you should store it properly, as well as give a copy of certain documents to your doctor(s). Your doctor doesn’t need your entire estate plan on record, but they should have a copy of your health care power of attorney and health/medical-related documents, such as a living will. You should request these documents to be placed in your medical records.

What a Living Will & Health Care Power of Attorney Mean for your Medical Care

What Do YOU Want?

A major benefit of this simple action is that if anything unexpected happens, your doctors and their teams will have your detailed wishes readily available. Giving a copy to your health care provider(s) is especially important in the case where you have been incapacitated (such as in a coma or under anesthesia) and want a specific person (like a spouse, adult child, or sibling) to be able to important decisions on your behalf. You want there to be no question as to whom you trust to make those decisions. You also want there to be no questions when it comes to personal choices regarding things like blood transfusions and being kept alive on machines.

Health Care Power of Attorney: What it is & Why you Need it

Access to Medical Records

When the health care power of attorney goes into effect, your designated representative will also have access to your medical records (which would otherwise be undisclosed due to HIPAA rules). If your doctor has your power of attorney on file, there will be significantly less red tape to your representative accessing essential information.

Remember Revisions

If you make revisions to your estate plan documents, such as who your designated health care representative is or specifics included in your living will make sure you give the updated version to your doctor’s office. You don’t want them operating off of an old version if an emergency occurs.

5 Scenarios for Estate Planning Revisions

Questions about estate planning? Think it may be time to update your health care power of attorney document? Don’t hesitate to contact me. Want to get started? A great place to start is with this free, no-obligation estate plan questionnaire.

April 10, 2020/by Gordon Fischer
https://www.gordonfischerlawfirm.com/wp-content/uploads/2019/01/Screen-Shot-2019-01-19-at-3.43.46-PM.png 666 1130 Gordon Fischer https://www.gordonfischerlawfirm.com/wp-content/uploads/2017/05/GFLF-logo-300x141.png Gordon Fischer2020-04-10 16:45:582020-05-18 11:28:32Doctor Directive: Place Important Estate Planning Documents on File

Pop Quiz: How Much do you know about this Important Estate Planning Document?

Estates & Estate Planning, Powers of Attorney
doctor holding stethoscope

Take a break from whatever you’re doing for entertainment during these socially distant days to test your knowledge on how much you know about health care power of attorney—a particularly important estate planning document. Because I’ve never particularly enjoyed tests (who does?), I’ll give you a hint; all the answers can be found in this recent blog post:

Health Care Power of Attorney: What it is & Why you Need it

To make things even easier, all of the statements below are either true or false.

1. An estate plan is a set of legal documents to prepare you (and your family and loved ones) for your death or disability.

2. There are six basic legal documents that nearly everyone should have as a part of an estate plan:

  • Estate plan questionnaire
  • Last will and testament
  • Health care power of attorney (option for living will)
  • Financial power of attorney
  • Disposition of personal property
  • Disposition of Final Remains and Instructions

3. A health care PoA is a legal document that allows you to select the person (your “agent”) that you want to make health care decisions on your behalf, if and when you become unable to make them for yourself.

4. Once your health care PoA goes into effect (typically most people elect to have this be the case only if an attending physician certifies you are unable to make medical decisions independently), your agent will then be able to make decisions for you based on the information you provided in your health care PoA.

5. If there are no specifics in your health care PoA relating to a unique situation, your agent can and should make health care decisions for you based on your best interests.

6. The person you select as your health care agent should be someone in whom you have the utmost trust.

7. The agent you select will be able to access your medical records, communicate with your health care providers, and so on.

8. Your health care PoA isn’t just about end-of-life decisions; it can cover many types of medical situations and decisions. For instance, you may choose to address organ donation, hospitalization, treatment in a nursing home, home health care, psychiatric treatment, and other situations in your health care PoA.

9. For people who feel strongly about not wanting to be kept alive with machines, this can be specifically covered in a document that can be part of your health care PoA, known as a living will.

10. If you don’t have a health care PoA and you should become incapacitated to the degree where you are unable to make health care decisions for yourself, your doctor(s) will ask your family and loved ones what to do. Ultimately, if your immediate family members cannot agree on a course of action, they would have to go to an Iowa Court to resolve the matter.

11. Going to court about a person’s medical care is very complicated, time-consuming, and expensive. This is especially true when compared with the convenience of simply putting a health care PoA in place should the need arise.

12. A health care PoA gives you control over how decisions are made for you, and the agent you choose will carry out your wishes.

13. Everyone can have unique issues and concerns when estate planning. It’s completely up to YOU as to what’s contained in your health care PoA. You name the agent(s). You decide what medical decisions will be covered and how. It’s all up to you.

14. Executing a health care PoA is a smart and responsible thing to do.

COVID-19: GFLF Legal Services Still Available & Accessible

All of these statements are true. That wasn’t too bad! How did you do?

Questions about how and why to execute a health care power of attorney document? Don’t hesitate to contact me. Want to get started? A great place to start is with this free, no-obligation estate plan questionnaire.

April 9, 2020/by Gordon Fischer
https://www.gordonfischerlawfirm.com/wp-content/uploads/2020/04/Screen-Shot-2020-04-09-at-10.56.20-PM.png 693 1244 Gordon Fischer https://www.gordonfischerlawfirm.com/wp-content/uploads/2017/05/GFLF-logo-300x141.png Gordon Fischer2020-04-09 22:51:242020-05-18 11:28:32Pop Quiz: How Much do you know about this Important Estate Planning Document?

Health Care Power of Attorney: What it is & Why you Need it

Estates & Estate Planning

Right now health and safety are top of mind for most of us due to the COVID-19 global pandemic. Because of the potential medical implications of the virus, it’s incredibly important to consider who you trust to make important health care decisions on your behalf if you are unable to do so. I know it’s difficult to think about, but knowing you have your wishes clearly, legally articulated can provide at least some peace of mind.

A health care power of attorney is one of the documents I advise all Iowans invest in because it’s a document that can save your loved ones so much uncertainty and confusion in the future (if the document needs to be evoked). Just like you may have prepared for social distancing by purchasing the basic necessities, a health care PoA, in my opinion, is a legal necessity.

COVID-19: GFLF Legal Services Still Available & Accessible

Health Care PoA: One of Six “Must Have” Estate Plan Legal Documents

An estate plan is a set of legal documents to prepare you (and your family and loved ones) for your death or disability. There are six basic estate plan legal documents that nearly everyone should have:

1. Estate plan questionnaire
2. Last will and testament
3. Health care power of attorney (option for living will)
4. Financial power of attorney
5. Disposition of personal property
6. Disposition of Final Remains and Instructions

There are numerous other important estate planning tools, such as trusts, but these six documents are a common part of most everyone’s complete estate plan. And, the health care power of attorney document is certainly an important part of your overall estate plan.

Serious Incapacitation

A health care PoA becomes critically important when you’re seriously incapacitated and unable to make health care decisions for yourself. This new state of incapacitation, preventing you from making your own health care decisions, might be the result of serious illness, injury, lack of mental capacity, or some combination of all of these.

alarm clock with red cross on it

How a Health Care PoA Works

A health care PoA is a legal document that allows you to select the person (your “agent”) that you want to make health care decisions on your behalf, if and when you become unable to make them for yourself.

Once your health care PoA goes into effect (typically most people elect to have this be the case only if an attending physician certifies you are unable to make medical decisions independently), your agent will then be able to make decisions for you based on the information you provided in your health care PoA. If there are no specifics in your health care PoA relating to a unique situation, your agent can and should make health care decisions for you based on your best interests. Obviously, the person you select as your health care agent should be someone in whom you have the utmost trust.

Equally important, your agent will be able to access your medical records, communicate with your health care providers, and so on.

Doctor Directive: Place Important Estate Planning Documents on File

Many Types of Health Care Decision

Keep in mind your health care PoA isn’t just about end-of-life decisions; it can cover many types of medical situations and decisions. For instance, you may choose to address organ donation, hospitalization, treatment in a nursing home, home health care, psychiatric treatment, and other situations in your health care PoA.

For people who feel strongly about not wanting to be kept alive with machines, specifically covered in a document that can be thought of as a part of your health care PoA known as a living will.

brightly colored pills

What Happens Without a Health Care PoA?

If you don’t have a health care PoA and you should become disabled to the degree where you are unable to make health care decisions for yourself, your doctor(s) will ask your family and loved ones what to do.

You might disagree with the decision your family makes. Or, your family members may not be able to agree on how to handle your medical care.

Ultimately, if your immediate family members cannot agree on a course of action, they would have to go to an Iowa Court and have a conservator/guardian appointed for you. It may, or may not, be someone you would have chosen. Further, the conservator/guardian may make decisions you wouldn’t have made.

Going to court to plead for a guardianship and conservatorship is all very complicated, time-consuming, and expensive. This is especially true when compared with the convenience of simply putting a health care PoA in place should the need arise. A health care PoA gives you control over how decisions are made for you, and the agent you choose will carry out your wishes.

No “One-Size-Fits-All” HealthCare PoA

All Iowans are special and unique and have special and unique issues and concerns. It’s completely up to YOU as to what’s contained in your health care PoA. You name the agent(s). You decide what medical decisions will be covered and how. It’s all up to you.

What a Living Will & Health Care Power of Attorney Mean for your Medical Care

Do you have a Health Care Power of Attorney Yet?

We never know when or if an accident or illness will befall us and if it will render us incapacitated. Of course, we all hope that’s never a reality, but it’s better to be prepared in case the unexpected becomes existence.

Do you have further questions about a health care PoA for you or your family members? You can email me anytime at gordon@gordonfischerlawfirm.com or call me on my cell at 515-371-6077. I offer a free consultation to all, as well as a no-obligation, Estate Plan Questionnaire.

April 8, 2020/by Gordon Fischer
https://www.gordonfischerlawfirm.com/wp-content/uploads/2018/07/Screen-Shot-2018-07-20-at-11.16.24-AM.png 689 1053 Gordon Fischer https://www.gordonfischerlawfirm.com/wp-content/uploads/2017/05/GFLF-logo-300x141.png Gordon Fischer2020-04-08 23:23:472020-05-18 11:28:33Health Care Power of Attorney: What it is & Why you Need it
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Gordon is based in Cedar Rapids and serves clients all across Iowa

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