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This document has no expiration date under Ohio law but you may choose to specify a date upon which your durable power of attorney for health care will expire. Ohio State Bar Association OHIO HEALTH CARE POWER OF ATTORNEY PAGE ONE OF TWELVE Comfort care means any measure taken to diminish pain or discomfort but not to postpone death. State of Ohio Health Care Power of Attorney of Print Full Name Birth Date I state that this is my Health Care Power of Attorney and I revoke any prior Health...
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How to fill out ohio health care power
Instructions for filling out Ohio health care power:
01
Begin by obtaining the necessary forms. The Ohio health care power of attorney form can be found online on the Ohio Department of Health website or obtained from a legal professional.
02
Read through the form carefully to understand the information required. It is important to familiarize yourself with the terminology and clauses in the document.
03
Provide your personal information in the designated sections. This includes your full legal name, address, contact details, and any other relevant information.
04
Select a suitable agent or healthcare representative. This individual will be responsible for making medical decisions on your behalf if you are unable to do so. Ensure that the person you choose is trustworthy and understands your wishes regarding healthcare.
05
Clearly state your preferences and instructions in the form. Utilize the designated sections to outline your beliefs, values, and desires regarding medical treatments and end-of-life care.
06
Consider consulting with a legal professional or healthcare provider if you have any specific questions or concerns while completing the form. They can offer guidance and advice to ensure that your wishes are accurately represented.
Who needs Ohio health care power:
01
Individuals who want to ensure that their healthcare decisions are made according to their own wishes when they are unable to communicate or make decisions for themselves.
02
Anyone who desires to appoint a trusted person to act as their healthcare agent and make medical decisions on their behalf.
03
Those who have strong personal beliefs or wishes regarding healthcare treatment and want to ensure that these preferences are respected.
Please note that the information provided is a general guide and may not cover all specific circumstances or legal requirements.
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What is ohio health care power of attorney form?
Ohio Durable Power of Attorney for Health Care Form allows a person to grant power to make health care decisions on behalf of the issuing principal when that principal is incapacitated and unable to do so (pursuant to Chapter 1337.17 of the Ohio Revised Code).
People Also Ask about ohio health care power attorney
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How to fill out ohio health care power?
1. Obtain a copy of the Ohio Healthcare Power of Attorney form. This form is available from the Ohio Secretary of State's website.
2. Fill out the form in its entirety. Be sure to include the name and address of the person you are giving your power of attorney to.
3. Sign and date the form.
4. Have two witnesses sign the form.
5. Give the original form to your designated healthcare power of attorney.
6. Make sure to keep a copy of the form for your own records.
What information must be reported on ohio health care power?
The Ohio Health Care Power of Attorney contains the following information:
1. The name of the person granting the power of attorney (the “principal”).
2. The name of the person who will act on the principal’s behalf (the “agent”).
3. An explanation of the authority the agent has to make health care decisions on behalf of the principal.
4. The principal’s instructions regarding specific medical treatments or procedures, if any.
5. The principal’s instructions regarding end-of-life decisions, if any.
6. The name and contact information of the principal’s physicians.
7. The signature of the principal and witnesses.
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