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).
Laws
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
Download: 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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