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Statute – § 1337.11 – § 1337.17
Definition – “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)).
Statutory Form – § 1337.17
Signing Requirements – The principal party must endorse the document while being observed by two (2) qualified witnesses (§ 1337.12(B)) or an individual containing notarial powers (§ 1337.12(C)).
Revocation – § 1337.14
Other Versions (2)
Ohio Medical Power of Attorney Form – Version 1
Download: Adobe PDF
Spanish/Español VersionDownload: Adobe PDF
Additional Resources
- Cleveland Clinic – Health Care Power of Attorney Completion Guide
- Pro Seniors – Health Care Power of Attorney Pamphlet
Related Forms (4)
- Advance Directive
- Advance Directive Notification Letter
- Appointment of Representative for Disposition of Bodily Remains, Funeral Arrangements, and Burial or Cremation Goods and Services
- Durable (Financial) Power of Attorney
Advance Directive (Medical POA & Living Will)
Download: Adobe PDF
Advance Directive Notification Letter
Download: Adobe PDF
Appointment of Representative for Disposition of Bodily Remains, Funeral Arrangements, and Burial or Cremation Goods and Services
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
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