Declaration for Mental Health Treatment - Ohio

Ohio · Fillable PDF · Free

An Ohio declaration for mental health treatment lets you state your treatment preferences in advance and name a proxy to make mental health decisions if a crisis leaves you unable to decide. An Ohio declaration for mental health treatment lets you state your treatment preferences in advance and name a proxy to make mental health decisions if a crisis leaves you unable to decide.

Download Declaration for Mental Health Treatment - Ohio PDF · 4 pages. No account required.

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Who this form is for

For Ohio residents and families: declaration for mental health treatment.

What you'll need

Read the supplied packet before filling in its fields.
Follow this document's signing, identification, witness and filing instructions.

How to complete it

Name a proxy and write preferences (Pages 1–2) Describe medications, facilities, and treatments you want or do not want.
Sign one of two ways (Pages 2–3) Sign before two qualified adult witnesses or a notary. Witnesses cannot be related to you or be your proxy or provider. We can provide witnesses for an additional fee.

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These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.

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