Ohio Advance Directive Form (Medical POA & Living Will)

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The Ohio Advance Directive provides the dual function of allowing an individual to record their wishes pertaining to end-of-life medical treatment (living will) and also appointing a third party to act on their behalf in the event of their incapacitation (medical power of attorney). Along with these features, the document also contains a third section where the principal can stipulate their desires regarding organ/tissue donation in case death occurs. If this is of interest, the individual seeking to put forth the document should enter in all the required info, sign the instrument, and then have it either acknowledged by two (2) witnesses or a notary public.

This Document Contains:

Laws

Statute Medical Power of Attorney (§ 1337.11 – § 1337.17), Living Will (§ 2133.02)

Definitions – A “durable power of attorney for health care” means a document created pursuant to § 1337.11 to § 1337.17 of the Revised Code (§ 2133.01(G)). A “declaration” means a written document executed in accordance with § 2133.02 of the Revised Code (§ 2133.01(F)).

Signing Requirements – Requires either the endorsements of at least two (2) witnessing parties or the certification of a notary public (§ 1337.12 & § 2133.02(B)).

Other Versions (2)

AARP (Caring Connections) Version

Download: Adobe PDF
Instructions: Adobe PDF

 

 


Prepare for Your Care Version (also available in Spanish/en Español)

Download: Adobe PDF

 

 

 

Multilingual Versions (5)

Arabic Version

Download: Adobe PDF

 

 

 


Cantonese Version

Download: Adobe PDF

 

 

 


Mandarin Version

Download: Adobe PDF

 

 

 


Russian Version

Download: Adobe PDF

 

 

 


Spanish/Español Version

Download: Adobe PDF

 

 

 

Additional Resources

Related Forms (7)

Advance Directive Notification Letter

Download: Adobe PDF

 

 

 


Advance Directive Wallet Cards

Download: Adobe PDF

 

 

 


Appointment of Representative for Disposition of Bodily Remains, Funeral Arrangements, and Burial or Cremation Goods and Services

Download: Adobe PDF

 

 


Declaration for Funeral Arrangements (Disposition of Bodily Remains)

Download: Adobe PDF

 

 

 


Declaration for Mental Health Treatment

Download: Adobe PDF

 

 

 


Do-Not-Resuscitate (DNR) Form

Download: Adobe PDF
Information: Adobe PDF
Wallet Card: Adobe PDF
Bracelet Insert: Adobe PDF

 


Durable (Financial) Power of Attorney

Download: Adobe PDF, MS Word (.docx)