Ohio Medical Power of Attorney Form

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Updated on June 13th, 2023

The Ohio Medical Power of Attorney is designated for those who wish to supply another individual with the lawful ability to make health care decisions on their behalf if they should ever enter into an incapacitated state. Before conveying these powers, the principal party should make sure that the person receiving the authority is a family member or close friend who has their best interest at heart. To fulfill the requirements of this form, the conveyor of powers should identify their agent (and any alternate agents if desired), detail any special requests within the designated area of the document, and sign it accordingly (whether in the presence of two witnesses or a notary public).

Other Versions (2)

Ohio Medical Power of Attorney Form – Version 1

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Spanish/Español Version

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Additional Resources

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

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Durable (Financial) Power of Attorney

Download: Adobe PDF, MS Word (.docx)