Adam Kehrwald

545 31st Street, Suite A Des Moines IA 50312 U.S.A. Polk Co. View Map
Call Firm Now Phone: 515-288-0363Fax: Fax: 877-257-3997

Contact Us

Contact Us

* required

  1. *
  2. *
  3.  
  4. *

AREAS OF PRACTICE

Adoptions

STEP ONE: CERTIFIED ADOPTION INVESTIGATOR

With some exceptions, before you will be allowed to adopt you will have to be approved to adopt a child by a Certified Adoption Investigator. The Investigator will come up to your home to evaluate your suitability, will request that you provide character references, statements from your doctor attesting to your health, and will run criminal and DHS background checks. The investigator will also help evaluate what type of child you would like to adopt. When the process is completed the Investigator will prepare their report (Homestudy) indicating you are qualified to adopt. If for some reason you are not qualified, you will be notified of that fact, the reasons why you are not qualified, and the procedure for appealing the investigators determination you are not qualified. The vast majority of applicants qualify. Persons with certain criminal convictions involving children or who have a history of abusing a dependent adult or child are the persons most likely not to be approved.

The exception to the Homestudy requirement is if you are adopting a child within the fourth degree of consanguinity, the court may waive the Homestudy requirement; however, unless you already know you are going to adopt a relative’s child, the better course of action is to complete a Homestudy. If the court determines a Homestudy should be completed, and you have not done so, this will only delay the process and may cause the cost of the Homestudy to increase considerably.


STEP TWO: LOCATING A BIRTHMOTHER


For most people Step One is a breeze, Step Two can be a bit more problematic. There are several ways to locate a birthmother. There a numerous agencies that will help match prospective parents with birth parents. Among these are Catholic Charities (www.dmdiocese.org/Charities.htm) and Abby's One True Gift Adoptions (www.onetruegift.com). Other qualified agencies are available as well. The services that agencies offer can vary widely, it is imperative that you do your homework as to what services they offer, what the costs will be, when the fees are due, and what type of adoption philosophy the agency follows.

Of course, you don't have to use an agency. You can do a lot through your own efforts. One way to increase your chances is to hand out business cards to as many people as possible; talk to your doctor about your desire to adopt a child, the more people who know you are interested in adopting and know how to contact you, the better off you will be.


STEP THREE: LOCATING THE BIRTHFATHER

Once a birthmother has been located and an agreement reached that she would like to have you adopt her baby, there are several issues that have to be addressed. These issues include identifying and locating the birthfather; determining what, if any, allowable expenses will be paid on behalf of the birthmother; and what arrangements will be made for birthmother notifying you when she goes into labor. Our office will work with you to make this part of the process go as smoothly as possible.

If at all possible, we try to contact the birthfather prior to the child's birth and persuade him to commit to the adoption plan as well. If we obtain information that the birthfather intends to resist the termination of his parental rights, we will discuss this with the adoptive parents as well as the birthmother. An evaluation will be made as to how difficult it may be to terminate the birthfather's parental rights and that evaluation shared with the prospective adoptive parents. Some of the factors that will be considered are whether the birth father has attempted to assist the mother, financially, emotionally and otherwise when he learned of the child's birth; and whether the birthfather has indicated a willingness to assist with the child after the child's birth. At that point a decision will be made by the adoptive couple as to whether they wish to continue to pursue an adoption. Prospective adoptive parents will explicitly be told that if the birth father shows an interest in helping the birth mother prior to birth; offers financial assistance, appears stable, indicates willingness to parent the child and has no negative history concerning children that it will be very difficult to terminate his parental rights.


STEP FOUR: THE LEGAL PROCESS

Once the baby has been born the legal process can start. Generally someone from our office will visit with the birth mother and reaffirm her intention to have the baby placed for adoption. Assuming she indicates she remains committed to the adoption plan, we will discuss with her plans for her to come in and meet with an Adoption Counselor to give a Personal/Social history and sign a Release of Custody. If we have been able to locate the birthfather, and he has indicated a willingness to do so, we will make arrangements for him to come in and meet with an Adoption Counselor to give a Personal/Social history and sign a Release of Custody. Arrangements will be made for the Release of the baby from the hospital and who will be taking care of the child.


STEP FIVE: RELEASES OF CUSTODY

After the child has been born for at least seventy-two (72) hours, the birthmother, and if possible the birthfather, will come in and sign Releases of Custody. After the Releases are signed, each birth parent has 96 hours to change their mind for any reason. If they do not seek to revoke their Release within the 96 hours, either one can still attempt to revoke their Release up to the time of the termination hearing. At that point, the birth parent would have to show good cause to be allowed to revoke their Release. Good cause generally means their Release was obtained through fraud, coercion, or misrepresentation of law or fact. If a birthparent seeks to revoke their Release, our office will consult with the adoptive parents as to what course of action we will take. Factors too numerous to list here would have to be considered in determining what action to take.


STEP SIX: PETITION TO TERMINATE PARENTAL RIGHTS

After the Releases are signed by the birthparents, a Petition to Terminate Parental Rights will be filed. A hearing date will be obtained and a Guardian Ad Litem will be appointed to represent the child. If the birth father has not signed a Release and his whereabouts are unknown, an Order allowing service by publication will be obtained. Notice will be given to all necessary parties. On the day of the hearing the court will review the file. If no one appears the court will grant the Petition; in the event a birth parent appears and objects, the court will generally continue the matter to a later date and time for a contested termination hearing.

In the event there must be a contested hearing, the burden is on the Petitioner (which is usually myself or the adoption agency) to prove by clear and convincing evidence that the natural parent’s parental rights should be terminated and that the termination of their parental rights is in the child’s best interests. Prior to final hearing we will prepare information to show the court why the birth parent’s rights should be terminated. We may require the contesting parent to answer written questions (interrogatories); may ask they produce documents; admit certain statements of fact and may question them under oath in the presence of a court reporter.

Prior to final hearing, the Guardian Ad Litem will do an investigation of the contesting parent. Depending on the age of the child and the circumstances, the Guardian Ad Litem may also interview the child and any other persons he or she deems necessary. The Guardian Ad Litem will then make whatever recommendation he or she believies is in the best interests of the child. While not binding on the court, the recommendations of the Guardian Ad Litem are normally given a fair amount of weight.

The hearing itself is tried to a Judge. Jury trials are not permitted. Both parties can present information to the court in support of their position as to whether the natural parents parental rights should (or should not) be terminated. The court’s primary consideration is the best interests of the child.

If the court determines that the Petitioner has met the burden of proving a ground for termination and that termination is in the child’s best interests, the court will enter an Order terminating the parent’s parental rights. The parent may appeal the Judge’s ruling to the Supreme Court. If the parent whose parental rights are terminated appeals, no adoption can occur until the appeal has been decided. It should be noted that the vast majority of termination actions are NOT contested.


STEP SEVEN: PETITION FOR ADOPTION

If the court has terminated the parents’ parental rights or their decision to terminate has been affirmed by a higher court, then a Petition for adoption may be filed.

A Petition is prepared naming the adoptive parties as the Petitioner. Attached to the Petition would be the Order terminating the natural parents parental rights. Also attached would be the Social Histories for the natural parents as well as the Homestudy and the post placement reports done by the Adoption Investigator. As of the date of the adoption hearing, the child must have been in your care for at least 6 months.

Prior to hearing the Guardian Ad Litem will do another investigation of the proposed parents. Assuming the Guardian Ad Litem finds that the proposed parents are still qualified and that the adoption is in the child's best interest, the Guardian Ad Litem will file an Answer urging the court to approve the adoption.

The adoption hearing is fairly informal. The court will make findings that the statutory requirements have been met and will approve the adoption. Most Judges’ love doing adoptions and will pose for pictures and take other actions to make the hearing a memorable and enjoyable experience. A new birth certificate will be issued for the child and a new social security card obtained.

Child Custody

 

(From Section 598.1 of the Iowa Code)


"Joint custody" or "joint legal custody" means an award of legal custody of a minor child to both parents jointly under which both parents have legal custodial rights and responsibilities toward the child and under which neither parent has legal custodial rights superior to those of the other parent. Rights and responsibilities of joint legal custody include, but are not limited to, equal participation in decisions affecting the child's legal status, medical care, education, extracurricular activities, and religious instruction.

"Joint physical care" means an award of physical care of a minor child to both joint legal custodial parents under which both parents have rights and responsibilities toward the child including, but not limited to, shared parenting time with the child, maintaining homes for the child, providing routine care for the child and under which neither parent has physical care rights superior to those of the other parent.

"Legal custody" or "custody" means an award of the rights of legal custody of a minor child to a parent under which a parent has legal custodial rights and responsibilities toward the child. Rights and responsibilities of legal custody include, but are not limited to, decision making affecting the child's legal status, medical care, education, extracurricular activities, and religious instruction.

"Physical care" means the right and responsibility to maintain a home for the minor child and provide for the routine care of the child. Physical care awarded to one parent does not affect the other parent's rights and responsibilities as a joint legal custodian of the child.

Parenting Course:

(From Section 598.15 of the Iowa Code)


Iowa law requires that parties to any action which involves the issues of child custody or visitation must attend a court-approved course to "educate and sensitize the parties to the needs of any child or party during and subsequent to the proceeding". In all judicial districts, there are courses such as "Children in the Middle" or "Children Cope with Divorce". These classes are designed to help minimize the negative impact of divorce on children and educate parents about the needs of children whose parents are divorcing. Parents are required to attend within 45 days of the service of original notice or application for modification of an order.

Access to Records:

(From Section 598.41 of the Iowa Code)


Unless otherwise ordered by the court in the custody decree, both parents shall have legal access to information concerning the child, including but not limited to medical, educational and law enforcement records.

Custody of children:

(From Section 598.41 of the Iowa Code)


The court, insofar as is reasonable and in the best interest of the child, shall order the custody award, including liberal visitation rights where appropriate, which will assure the child the opportunity for the maximum continuing physical and emotional contact with both parents after the parents have separated or dissolved the marriage, and which will encourage parents to share the rights and responsibilities of raising the child unless direct physical harm or significant emotional harm to the child, other children, or a parent is likely to result from such contact with one parent.

If the court finds that a history of domestic abuse exists, a rebuttable presumption against the awarding of joint custody exists.

The court shall consider the denial by one parent of the child's opportunity for maximum continuing contact with the other parent, without just cause, a significant factor in determining the proper custody arrangement.


Factors Used in Determining Custody of Minor Child
:

(From Section 598.41 of the Iowa Code)


In considering what custody arrangement is in the best interest of the minor child, the court shall consider the following factors:

a. Whether each parent would be a suitable custodian for the child.

b. Whether the psychological and emotional needs and development of the child will suffer due to lack of active contact with and attention from both parents.

c. Whether the parents can communicate with each other regarding the child's needs.

d. Whether both parents have actively cared for the child before and since the separation.

e. Whether each parent can support the other parent's relationship with the child.

f. Whether the custody arrangement is in accord with the child's wishes or whether the child has strong opposition, taking into consideration the child's age and maturity.

g. Whether one or both the parents agree or are opposed to joint custody.

h. The geographic proximity of the parents.

i. Whether the safety of the child, other children, or the other parent will be jeopardized by the awarding of joint custody or by unsupervised or unrestricted visitation.

j. Whether a history of domestic abuse, as defined in section 236.2 , exists. In determining whether a history of domestic abuse exists, the court's consideration shall include, but is not limited to, commencement of an action pursuant to section 236.3 , the issuance of a protective order against the parent or the issuance of a court order or consent agreement pursuant to section 236.5 , the issuance of an emergency order pursuant to section 236.6 , the holding of a parent in contempt pursuant to section 236.8 , the response of a peace officer to the scene of alleged domestic abuse or the arrest of a parent following response to a report of alleged domestic abuse, or a conviction for domestic abuse assault pursuant to section 708.2A .

Child Support



Parents have a legal obligation to support their minor children. This obligation shall continue for a child who is between the ages of eighteen and nineteen years who is engaged full-time in completing high school graduation or equivalency requirements in a manner which is reasonably expected to result in completion of requirements prior to the person reaching nineteen years of age; and may include support for a child of any age who is dependent on the parties because of physical or mental disability.

Iowa law requires that the amount of a parent's child support obligation be determined by applying uniform child support guidelines prescribed by the Iowa Supreme Court. The purpose of the guidelines is to provide for the best interests of the children by recognizing the duty of both parents to provide adequate support for their children in proportion to their respective incomes. An order may vary from the guideline amount only if the court finds such adjustment necessary to provide for the needs of the children and to do justice between the parties under the special circumstances of individual cases.

Criminal Law


Criminal law covers “public wrongs”, or offenses against the public and order. The federal, state, and local governments all define these laws and prosecute people who commit these crimes. Public wrongs range from traffic violations to the most serious offenses such as rape or murder. Those charged with a crime all called “defendants”.

Defendants are represented by defense attorneys, while the government official that charges the defendant is called a “prosecutor”. If you are charged with a crime, you will need representation by an attorney with experience in criminal defense in order to protect your legal rights.

Criminal charges and convictions can have serious, even devastating effects, including fines and jail time. A person accused of a crime needs a zealous advocate, helping them evaluate the strengths of their case and working for the most favorable outcome possible.



Employment Law

Employment Discrimination & Sexual Harassment

Employment Discrimination laws seek to prevent discrimination based on race, sex, religion, national origin, physical disability, and age by employers. Federal, state and local laws prohibit discrimination in hiring, promotion, job assignment, termination, compensation, and various types of harassment.. The United States Constitution and state constitutions provide additional protection where the employer is a governmental body if the government has taken significant steps to help the discriminatory practice of the employer.

IMPORTANT: Employment discrimination cases have very short Statutes of Limitations. (The time limit for filing a case). Usually, such a claim must be filed in 180 days or 300 days after the last act of discrimination. Any separate discriminatory acts which occurred earlier might not be covered.

Sexual harassment is a type of discrimination. It is any kind of sexual behavior that is unwelcome and/or inappropriate for the work place and is based on sex. Sexual harassment can be verbal harassment (bad comments or dirty jokes), visual harassment (sexual or embarrassing posters, cartoons, drawing, etc.), physical harassment, and sexual favors (sexual advances, confrontation with sexual demands.) In the work place, sexual harassment can come from the owner, supervisor, manager, lead person, foreperson, co-worker and/or customer. It does not need to have sexual content to be based on sex. For example, if a manager yells and screams only at women or uses sex specific names like bitch or slut, that may be sexual harassment. Employment discrimination cases have very short statutes of limitations. Usually, such a claim must be filed 180 days, or 300 days after the last act of discrimination. Any separate acts of discrimination which occurred earlier might not be covered.

An environment is "hostile" when managers or co-workers are engaging in discriminatory intimidation, ridicule, and insult, which is sufficiently severe or pervasive to change the worker's conditions of employment and create an abusive working relationship. The harassment must be objectively abusive and the worker who files the complaint also must experience it as abusive.

Important: Unless the harassment is based on race, sex, religion, national origin, physical disability, and age it can not generally be the basis of a lawsuit.

Factors that the courts use to determine whether or not the environment is sufficiently hostile to justify bringing a lawsuit include the following kinds of things:

  • frequency of the conduct
  • severity of the conduct
  • Whether the conduct is physical or verbal
  • Whether the conduct unreasonably interferes with a worker's performance
  • Affect of the conduct on its victims.

Workers who are in a hostile environment based on their race, color, creed, sex, place of national origin, age, or condition of disability, can bring a civil rights complaint.

Family Law


Divorce/Family Law - Many issues confront persons facing a divorce. Those issues include property rights, financial obligations to creditors, tax ramifications of a divorce, spousal support, and, most importantly, issues related custody of minor children. It is important and wise to educate yourself about these issues before making decisions regarding any of these issues.  I strongly encourage people to have at least an initial consultation with an attorney to find out what your rights and obligations are before you make decisions that will affect the rest of your life, as well as the lives of others.
Juvenile Law


Being charged with a crime as a juvenile can have a significant impact on your child's future. Whether or not your child committed the crime for which he or she is accused, you should retain an experienced criminal defense attorney to aggressively defend your child and protect his or her rights.

In Iowa, you must retain an attorney if your child is charged with a crime. You should do this as soon as possible, to ensure your child's rights are protected. Neither you, nor your child should discuss the matter with the police, teachers, or anyone else, until after you have sought counsel from a criminal defense attorney who has experience with juvenile delinquency crimes. Anything you say can be used against you or your child.

I understand your desire to do what is in the best interest of your child. It is never in the best interest of the child to be convicted of a crime. Juvenile delinquency is unique because a minor can be charged as adults in certain situations, and can automatically be charged as adults if they are within two years of being an adult and charged with a violent crime or a weapons offense.
Alimony

 

The following is a summary of Iowa alimony laws, and is by no means intended to be an all-inclusive description of what to expect in your particular case. In some cases, the exact text of the statute may have been simplified and/or modified to provide for easier understanding. For a more specific understanding of the laws, you should consult the full Iowa Code and/or consult with an attorney about how the law might apply to your particular situation.

Alimony Guidelines.
The court will consider the following criteria when considering an award of spousal support (alimony):

a. The length of the marriage.

b. The age and physical and emotional health of the parties.

c. The distribution of property made pursuant to section 598.21.

d. The educational level of each party at the time of marriage and at the time the action is commenced.

e. The earning capacity of the party seeking maintenance, including educational background, training, employment skills, work experience, length of absence from the job market, responsibilities for children under either an award of custody or physical care, and the time and expense necessary to acquire sufficient education or training to enable the party to find appropriate employment.

f. The feasibility of the party seeking maintenance becoming self-supporting at a standard of living reasonably comparable to that enjoyed during the marriage, and the length of time necessary to achieve this goal.

g. The tax consequences to each party.

h. Any mutual agreement made by the parties concerning financial or service contributions by one party with the expectation of future reciprocation or compensation by the other party.

i. The provisions of an antenuptial agreement.

j. Other factors the court may determine to be relevant in an individual case.

-From 598.21A of the Iowa Code

Operating While Intoxicated (OWI)

This article develops the Iowa laws concerning the criminal charge of Operating While Intoxicated (OWI), the procedures, and defensive tactics relevant in Iowa. This article cannot be construed as comprehensive or definitive, as every case varies and facts in the cases are crucial. A criminal defense attorney is crucial in analyzing the facts of the case and developing a proper strategy in an OWI case. While most OWI cases are pleaded or the defendant is found guilty, there are usually significant problems with most cases that could provide a possible defense.

________________________________________________________________

OWI in Iowa

In Iowa it is unlawful to operate a motor vehicle under any of the following conditions:

q     While under the influence of alcohol, drugs, or a combination (Note: There can be any amount, not just blood alcohol concentration (BAC) of .08 or above)

q     While having an alcohol concentration of .08 or more

q     While having any amount of a controlled substance in your body

Motor Vehicle

A motor vehicle is defined in the code as a self-propelled vehicle. The definition includes golf carts and snow mobiles. Boats are covered under another code section.

Intent

OWI in Iowa is a general intent crime. Only a general intent to drive is required, not a specific intent to drive knowingly under the influence. It is not a strict liability crime, so defenses are allowed.

Under the Influence

Under the Influence is defined by case law and jury instructions. It is defined as:

“A person’s reason or mental ability has been affected; or judgment is impaired; or emotions are visibly excited; or has, to any extent, lost control of bodily actions or motions by consuming liquor or beer.” State v. Conner, 377 N.W. 2d 664, 667 (Iowa Ct. App. 1985) (citing People v. Lujan, 192 Cal. Rptr. 109, 116-17 (1983).

State must prove

(If No test)

q     Defendant was operating a motor vehicle

q     At the time of operation the defendant was under the influence of alcohol, drugs, or a combination

(If Test failure)

q     Defendant was operating a motor vehicle

q     At the time, the defendant had an alcohol concentration of .08 or more

(If Drugged)

q     Defendant was operating a motor vehicle

q     At the time, defendant had any amount of a controlled substance in his system as measured by a blood or urine test

Implied Consent

Operating a motor vehicle implies consent to have a blood, breath, and/or urine test for the presence of drugs, if a peace officer has reasonable grounds to believe the operator is under the influence. This is a probable cause standard if the person is arrested. However, if an arrest is not conducted, the Iowa Supreme Court has held that:

“An individual’s detention by an officer for the purpose of performing field sobriety tests does not rise to the level of custody, but is merely detention for investigative purposes.” State v. Krebs, 562 N.W.2d 423, 426 (Iowa 1997).

Implied consent is triggered by conditions in I.C.A. §§ 321J.6(1)(c)-(f). Who may invoke implied consent is given in I.C.A. §§ 321J.1(8)(a)-(d). The procedure for invoking implied consent is given in IC.A. §§ 321J.8(1)-(3). If a person eighteen (18) years or older refuses the test, his license is suspended for one (1) year if he has not had a revocation for the past twelve (12) years for implied consent or drunk driving laws or two (2) years if he had one or more revocations for the past twelve (12) years.  If the driver is under eighteen (18), his license is revoked for the above periods or until he is eighteen (18), whichever is later.   

       If the driver submits to the test and the results are .08 or higher or indicates any controlled substance, his license is suspended for 180 days if there are no revocations within the past twelve (12) years or one (1) year if one or more revocations. If the driver is under age eighteen (18), his license is revoked for the above periods or until he is age eighteen (18), whichever is later.  If the driver is under age twenty-one (21) and the level is between .02 and .08, the license is revoked for sixty (60) days if there is no previous revocation within twelve (12) years or ninety (90) days if there is a previous revocation within twelve (12) years.

     If he is operating a commercial vehicle and either refuses the test or the test results are .04 or greater, he is disqualified from operating a commercial vehicle for one (1) year.  The revocation is for three (3) years if the driver was driving a commercial vehicle carrying hazardous materials or required placarding.  The disqualification is for life if the driver previously committed any of the following acts while operating a commercial vehicle after June 30, 1990: operating under influence of alcohol or other drugs or a combination, operating commercial vehicle with BAC of .04 or higher, refusal to submit to chemical testing, failure to stop and render aid following an accident involving your vehicle, or felony or aggravated misdemeanor.  The lifetime revocation may be reduced to ten (10) years under federal law.
 
If an officer invokes implied consent and the driver refuses to submit to the test, a form must be provided to the driver notifying them of their right to contest the revocation or request a temporary permit. I.C.A. § 321J.13(1). If the driver desires to contest the revocation a hearing will be set by the department within forty-five (45) days. The issue in a hearing is whether the officer had reasonable ground to believe the person was operating while intoxicated. The department must also establish that the driver refused to submit to a test, the driver submitted and the test exceeded the limit, or the driver tested positive for a controlled substance. A driver may appeal to the director of the department within ten (10) days of the revocation. If this appeal is unsuccessful, the driver is entitled to judicial review.

 

OWI First Offense and Age Eighteen (18) or older

Administrative Action or upon court conviction: Revocation of Driver’s License for 180 days due to chemical failure test.

Reinstatement of License

q     Driver must pay a $200.00 civil penalty

q     Present proof of drinking driver’s course (12 hour course) (see below)

q     Complete substance abuse evaluation and treatment or rehabilitation services

q     Comply with financial responsibility laws, if applicable (usually requiring SR-22 High Risk Insurance)

q     Driver must send or deliver the above to Office of Drivers Services, Park Fair Mall, 100 Euclid, PO Box 9204, Des Moines, IA   50306-9204 to be eligible for reinstatement of the license 

q     Upon receipt of the above, DOT will send a notice ending the revocation.  The driver must then present the notice ending the revocation to the Drivers License Examiner, re-take driving tests, pay a reinstatement fee, and pay the required license fee to obtain a new license 

q     The new license will be probationary for twelve (12) months.  If the driver commits a moving violation during the probationary period, driving privileges will be suspended for a like additional period, not to exceed one (1) year

* If a chemical test indicates an alcohol level of .08 or higher or any level of a controlled substance, and there have been no OWI-related revocations in the past twelve (12) years, the driver may apply for a temporary restricted license.

*If a blood alcohol content (BAC) test indicates an alcohol level of greater than .15 or an accident occurred, the driver must wait thirty (30) days from sanction date to apply for a temporary restricted license.

*If the BAC test indicates an alcohol level greater than .10 or an accident occurred, the driver must install an ignition interlock device, which involves paying for the rental of a device.

*If the driver is under age twenty-one (21), the driver must wait sixty (60) days from the sanction date to be eligible for a temporary restricted license.

Powers of Attorney

 

144B.1 DEFINITIONS.
For purposes of this chapter, unless the context otherwise
requires:
1. "Attorney in fact" means an individual who is designated
by a durable power of attorney for health care as an agent to make
health care decisions on behalf of a principal and has consented to
act in that capacity.
2. "Durable power of attorney for health care" means a
document authorizing an attorney in fact to make health care
decisions for the principal if the principal is unable, in the
judgment of the attending physician, to make health care decisions.
3. "Health care" means any care, treatment, service, or
procedure to maintain, diagnose, or treat an individual's physical or
mental condition. "Health care" does not include the provision
of nutrition or hydration except when they are required to be
provided parenterally or through intubation.
4. "Health care decision" means the consent, refusal of
consent, or withdrawal of consent to health care.
5. "Health care provider" means a person who is licensed,
certified, or otherwise authorized or permitted by the law of this
state to administer health care in the ordinary course of business or
in the practice of a profession.
6. "Principal" means a person age eighteen or older who has
executed a durable power of attorney for health care.

Section History: Recent Form

91 Acts, ch 140, §1
Referred to in § 141A.1, 231E.3, 321.189
 
144B.2 DURABLE POWER OF ATTORNEY FOR HEALTH CARE.
A durable power of attorney for health care authorizes the
attorney in fact to make health care decisions for the principal if
the durable power of attorney for health care substantially complies
with the requirements of this chapter. A document executed prior to
May 8, 1991, purporting to create a durable power of attorney for
health care shall be deemed valid if the document specifically
authorizes the attorney in fact to make health care decisions and is
signed by the principal.

Section History: Recent Form

91 Acts, ch 140, §2
 
144B.3 REQUIREMENTS.
1. An attorney in fact shall make health care decisions only if
the following requirements are satisfied:
a. The durable power of attorney for health care explicitly
authorizes the attorney in fact to make health care decisions.
b. The durable power of attorney for health care contains the
date of its execution and is witnessed or acknowledged by one of the
following methods:
(1) Is signed by at least two individuals who, in the presence of
each other and the principal, witnessed the signing of the instrument
by the principal or by another person acting on behalf of the
principal at the principal's direction.
(2) Is acknowledged before a notarial officer within this state.
 
2. The following individuals shall not be witnesses for a durable
power of attorney for health care:
a. A health care provider attending the principal on the date
of execution.
b. An employee of a health care provider attending the
principal on the date of execution.
c. The individual designated in the durable power of attorney
for health care as the attorney in fact.
d. An individual who is less than eighteen years of age.
3. At least one of the witnesses for a durable power of attorney
for health care shall be an individual who is not a relative of the
principal by blood, marriage, or adoption within the third degree of
consanguinity.
4. A durable power of attorney for health care or similar
document executed in another state or jurisdiction in compliance with
the law of that state or jurisdiction shall be deemed valid and
enforceable in this state, to the extent the document is consistent
with the laws of this state. A durable power of attorney or similar
document executed by a veteran of the armed forces which is in
compliance with the federal department of veterans affairs advance
directive requirements shall be deemed valid and enforceable.

Section History: Recent Form

91 Acts, ch 140, §3; 98 Acts, ch 1083, §2
 
144B.4 INDIVIDUALS INELIGIBLE TO BE ATTORNEY IN
FACT.
The following individuals shall not be designated as the attorney
in fact to make health care decisions under a durable power of
attorney for health care:
1. A health care provider attending the principal on the date of
execution.
2. An employee of a health care provider attending the principal
on the date of execution unless the individual to be designated is
related to the principal by blood, marriage, or adoption within the
third degree of consanguinity.

Section History: Recent Form

91 Acts, ch 140, §4
 
144B.5 DURABLE POWER OF ATTORNEY FOR HEALTH CARE --
FORM.
1. A durable power of attorney for health care executed pursuant
to this chapter may, but need not, be in the following form:
 
I hereby designate ........ as my attorney in fact (my agent) and
give to my agent the power to make health care decisions for me.
This power exists only when I am unable, in the judgment of my
attending physician, to make those health care decisions. The
attorney in fact must act consistently with my desires as stated in
this document or otherwise made known.
Except as otherwise specified in this document, this document
gives my agent the power, where otherwise consistent with the law of
this state, to consent to my physician not giving health care or
stopping health care which is necessary to keep me alive.
This document gives my agent power to make health care decisions
on my behalf, including to consent, to refuse to consent, or to
withdraw consent to the provision of any care, treatment, service, or
procedure to maintain, diagnose, or treat a physical or mental
condition. This power is subject to any statement of my desires and
any limitations included in this document.
My agent has the right to examine my medical records and to
consent to disclosure of such records.
 
2. In addition to the foregoing, the principal may provide
specific instructions in the document conferring the durable power of
attorney for health care, consistent with the provisions of this
chapter.
3. The principal may include a statement indicating that the
designated attorney in fact has been notified of and consented to the
designation.
4. A durable power of attorney for health care may designate one
or more alternative attorneys in fact.

Section History: Recent Form

91 Acts, ch 140, §5
 
144B.6 ATTORNEY IN FACT -- PRIORITY TO MAKE
DECISIONS.
1. Unless the district court sitting in equity specifically finds
that the attorney in fact is acting in a manner contrary to the
wishes of the principal or the durable power of attorney for health
care provides otherwise, an attorney in fact who is known to the
health care provider to be available and willing to make health care
decisions has priority over any other person, including a guardian
appointed pursuant to chapter 633, to act for the principal in all
matters of health care decisions. The attorney in fact has authority
to make a particular health care decision only if the principal is
unable, in the judgment of the attending physician, to make the
health care decision. If the principal objects to a decision to
withhold or withdraw health care, the principal shall be presumed to
be able to make a decision.
2. In exercising the authority under the durable power of
attorney for health care, the attorney in fact has a duty to act in
accordance with the desires of the principal as expressed in the
durable power of attorney for health care or otherwise made known to
the attorney in fact at any time. A declaration executed by the
principal pursuant to the life- sustaining procedures Act, chapter
144A, shall not be interpreted as expressing an intent to prohibit
the withdrawal of hydration or nutrition when required to be provided
parenterally or through intubation and shall not otherwise restrict
the authority of the attorney in fact unless either the declaration
or the durable power of attorney for health care expressly provides
otherwise. If the principal's desires are unknown, the attorney in
fact has a duty to act in the best interests of the principal, taking
into account the principal's overall medical condition and prognosis.
 

Section History: Recent Form

91 Acts, ch 140, §6
 
144B.7 AUTHORITY TO REVIEW MEDICAL RECORDS.
Except as limited by the durable power of attorney for health
care, an attorney in fact has the same right as the principal to
receive and review medical records of the principal, and to consent
to the disclosure of medical records of the principal when acting
pursuant to the durable power of attorney for health care.

Section History: Recent Form

91 Acts, ch 140, §7
 
144B.8 REVOCATION OF DURABLE POWER OF ATTORNEY.
1. A durable power of attorney for health care may be revoked at
any time and in any manner by which the principal is able to
communicate the intent to revoke, without regard to mental or
physical condition. Revocation may be by notifying the attorney in
fact orally or in writing. Revocation may also be made by notifying
a health care provider orally or in writing while that provider is
engaged in providing health care to the principal. A revocation is
only effective as to a health care provider upon its communication to
the provider by the principal or by another to whom the principal has
communicated revocation. The health care provider shall document the
revocation in the treatment records of the principal.
2. The principal is presumed to have the capacity to revoke a
durable power of attorney for health care.
3. Unless it provides otherwise, a valid durable power of
attorney for health care revokes any prior durable power of attorney
for health care.
4. If authority granted by a durable power of attorney for health
care is revoked under this section, an individual is not subject to
criminal prosecution or civil liability for acting in good faith
reliance upon the durable power of attorney for health care unless
the individual has actual knowledge of the revocation.
5. The fact of execution and subsequent revocation of a durable
power of attorney shall have no effect upon subsequent health care
decisions made in accordance with accepted principles of law and
standards of medical care governing those decisions.

Section History: Recent Form

91 Acts, ch 140, §8
 
144B.9 IMMUNITIES AND RESPONSIBILITIES.
1. A health care provider is not subject to criminal prosecution,
civil liability, or professional disciplinary action if the health
care provider relies on a health care decision and both of the
following requirements are satisfied:
a. The decision is made by an attorney in fact who the health
care provider believes in good faith is authorized to make the
decision.
b. The health care provider believes in good faith that the
decision is not inconsistent with the desires of the principal as
expressed in the durable power of attorney for health care or
otherwise made known to the health care provider, and, if the
decision is to withhold or withdraw health care necessary to keep the
principal alive, the health care provider has provided an opportunity
for the principal to object to the decision.
2. Notwithstanding a contrary health care decision of the
attorney in fact, the health care provider is not subject to criminal
prosecution, civil liability, or professional disciplinary action for
failing to withhold or withdraw health care necessary to keep the
principal alive. However, the attorney in fact may make provisions
to transfer the responsibility for the care of the principal to
another health care provider.
3. An attorney in fact is not subject to criminal prosecution or
civil liability for any health care decision made in good faith
pursuant to a durable power of attorney for health care.
4. It shall be presumed that an attorney in fact, and a health
care provider acting pursuant to the direction of an attorney in
fact, are acting in good faith and in the best interests of the
principal absent clear and convincing evidence to the contrary.
5. For purposes of this section, acting in "good faith" means
acting consistent with the desires of the principal as expressed in
the durable power of attorney for health care or otherwise made known
to the attorney in fact, or where those desires are unknown, acting
in the best interests of the principal, taking into account the
principal's overall medical condition and prognosis.
6. A health care provider or attorney in fact may presume that a
durable power of attorney for health care is valid absent actual
knowledge to the contrary.

Section History: Recent Form

91 Acts, ch 140, §9
 
144B.10 EMERGENCY TREATMENT.
This chapter does not affect the law governing health care
treatment in an emergency.

Section History: Recent Form

91 Acts, ch 140, §10
 
144B.11 PROHIBITED PRACTICES.
1. A health care provider, health care service plan, insurer,
self-insured employee welfare benefit plan, or nonprofit hospital
plan shall not condition admission to a facility, or the providing of
treatment, or insurance, on the requirement that an individual
execute a durable power of attorney for health care.
2. A policy of life insurance shall not be legally impaired or
invalidated in any manner by the withholding or withdrawing of health
care pursuant to the direction of an attorney in fact appointed
pursuant to this chapter.

Section History: Recent Form

91 Acts, ch 140, §11
 
144B.12 GENERAL PROVISIONS.
1. This chapter does not create a presumption concerning the
intention of an individual who has not executed a durable power of
attorney for health care and does not impair or supersede any right
or responsibility of an individual to consent, refuse to consent, or
withdraw consent to health care on behalf of another in the absence
of a durable power of attorney for health care.
2. This chapter shall not be construed to condone, authorize, or
approve any affirmative or deliberate act or omission which would
constitute mercy killing or euthanasia.
3. If after executing a durable power of attorney for health care
designating a spouse as attorney in fact, the marriage between the
principal and the attorney in fact is dissolved, the power is thereby
revoked. In the event of remarriage to each other, the power is
reinstated unless otherwise revoked by the principal.
4. It is the responsibility of the principal to provide for
notification of a health care provider of the terms of the
principal's durable power of attorney for health care.

 

Worker's Compensation

Have you been injured in a work related accident? I provide experienced representation to injured workers from a variety of occupations and industries. If you have been injured at work and are interested in speaking with an attorney regarding your Workers’ Compensation claim, please contact me today to arrange a consultation.

 

Comprehensive Worker’s Compensation Representation

I provide comprehensive representation to those who have been injured on the job. We understand that a work-related injury can cause physical, emotional, and financial difficulties for you and your entire family. I provide thorough and dedicated legal help throughout the claims process to ensure your claim is handled adequately. Representation includes filing a petition with the commissioner’s office, mediation, representing clients before an Administrative Law Judge (ALJ), and if necessary representing clients through the appeals process.

 

Act Quickly to Protect Your Entitlement to Benefits

Much of Workers' Compensation law is time-sensitive. You must act quickly to ensure they receive the benefits they are entitled to. I advise clients to take the following into consideration:

· As soon as possible after your injury, notify your employer and your doctor about the injury including when, how, and where you were injured.

· Keep in the mind the timeframe that you have to give notice to your employer — generally 90 days — as well as the Statute of Limitations for bringing a claim — generally 2 years from the date of your injury.

· Does your doctor say that your injury stems from a pre-existing condition? Iowa worker compensation law provides compensation if you can prove that this condition was made worse by work.

· Keep in mind that in most situations an employer hires an employee “as is”. This takes into consideration the health conditions you may already have. If your injury or pain is part of a pre-existing condition, but is aggravated by your work functions, you may still be entitled to benefits.


This web site is designed for general information only. The information presented at this site should not be construed to be formal legal advice nor the formation of a lawyer/client relationship. Adam Kehrwald website is powered by LexisNexis® Martindale-Hubbell®. || Sitemap