Ohio Living Will Template Modify Form Here

Ohio Living Will Template

A Living Will is a legal document that outlines your preferences for medical treatment in case you become unable to communicate your wishes. In Ohio, this form allows individuals to specify what types of life-sustaining measures they want or do not want. Understanding how to complete this form can ensure that your healthcare decisions are respected and followed.

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Table of Contents

The Ohio Living Will form is an essential legal document that allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate those preferences themselves. This form is particularly important for ensuring that one's healthcare decisions are respected during critical moments. It covers various aspects of medical care, including the desire for or against life-sustaining treatments, such as mechanical ventilation or feeding tubes. Additionally, the form provides options for individuals to specify their preferences regarding pain management and other end-of-life care. By completing the Ohio Living Will form, individuals can appoint a healthcare proxy to make decisions on their behalf, ensuring that their values and desires are honored. This document not only facilitates conversations about healthcare preferences with family members and medical providers but also serves as a vital tool for avoiding confusion and conflict during emotionally charged situations. Understanding the components of this form is crucial for anyone looking to take control of their medical future and ensure their wishes are clearly communicated and legally binding.

Form Sample

Ohio Living Will

This Living Will is designed to express the wishes regarding medical treatment of the undersigned, herein referred to as the "Principal," under the laws of the State of Ohio, specifically the "Ohio Living Will Declaration Act." It becomes effective when the Principal cannot make their own medical decisions as determined by a physician.

Please provide the necessary information in the spaces below:









Declaration

I, _____________[Principal's Full Name]_____________, being of sound mind, willfully and voluntarily make known my desire that my dying shall not be artificially prolonged under the circumstances set forth below, and I declare:

  1. If I am in a terminal condition, I direct that my healthcare providers withhold or withdraw treatment that only prolongs the process of dying, and that they provide me with care to make me comfortable and to relieve pain, including palliative care.
  2. If I am in a permanently unconscious state, I direct that my healthcare providers withhold or withdraw all treatment, except for that which provides comfort care or alleviates pain.

It is my intention that this declaration be honored by my family and physicians as the final expression of my legal right to refuse medical or surgical treatment and accept the consequences of such refusal.

Signature





Witness

The Principal has declared to me that they are of sound mind, and this Living Will is consistent with their personal desires to limit or end life-prolonging medical interventions when they are not able to make these decisions for themselves.





Witness Signatures





File Specifications

Fact Name Description
Purpose The Ohio Living Will form allows individuals to express their wishes regarding medical treatment in case they become unable to communicate those wishes themselves.
Governing Law The Ohio Living Will is governed by Ohio Revised Code Section 2133.
Eligibility Any adult of sound mind can complete a Living Will in Ohio.
Signature Requirements The form must be signed by the individual and witnessed by two people or notarized.
Revocation Individuals can revoke their Living Will at any time, verbally or in writing.
Healthcare Proxy A Living Will does not appoint a healthcare proxy; a separate document is needed for that purpose.
Expiration The Living Will remains effective until revoked or the individual passes away.
Availability Ohio Living Will forms are available online and can be customized to fit individual preferences.
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