Health Care Power of Attorney - Ohio

Ohio · Fillable PDF · Free

An Ohio health care power of attorney names someone (your “attorney in fact”) to make health care decisions for you if you lose the capacity to decide. It does not cover finances. An Ohio health care power of attorney names someone (your “attorney in fact”) to make health care decisions for you if you lose the capacity to decide. It does not cover finances.

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Who this form is for

For Ohio residents and families: health care power of attorney.

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

Read the required Notice (Pages 1–3) Ohio requires this Notice on every printed form. It explains the limits on your agent’s authority.
Name your agent and alternates (Page 4) Initial the nutrition and hydration statement only if you agree with it.
Limits and signing (Pages 5–6) Add any limitations, then sign in ONE of two ways: before two qualified adult witnesses or before a notary (Page 6). Many people choose the notary because witnesses must meet strict rules. We can also 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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