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Preview - Ohio Living Will Form
Ohio Living Will Declaration
This Living Will is created in accordance with Ohio law. It expresses my wishes regarding medical treatment if I become unable to communicate my own decisions.
Personal Information:
- Name: _____________________________
- Date of Birth: ______________________
- Address: _____________________________
- City, State, ZIP: ______________________
Declaration:
If I am diagnosed with a terminal condition, or if I am in a permanent unconscious state, and if I cannot communicate my wishes, I direct that:
- All life-sustaining treatments, including nutrition and hydration, be withheld or withdrawn, unless it would provide comfort care.
- I prefer to receive pain relief even if it may hasten my death.
- In all cases, it is my wish that decisions regarding my care be guided by my values and preferences.
Healthcare Agent (Optional):
If I appoint a healthcare agent, they should follow this declaration:
- Name of Agent: ___________________________
- Address: _________________________________
- Phone Number: ___________________________
Signatures:
I declare that this Living Will reflects my wishes. I sign this document voluntarily and understand its contents.
Signature: _______________________________
Date: __________________________________
Witnesses:
- Witness 1 Signature: _______________________
- Witness 2 Signature: _______________________
This document must be signed in the presence of two witnesses or acknowledged before a notary public in order to be valid in Ohio.
Create Other Common Living Will Forms for Different States
Ahcd - A Living Will can provide clear guidance when dealing with complex medical situations.
Living Will Form Pennsylvania - The form is not a substitute for a durable power of attorney for healthcare.
Michigan Living Will Form - A way to express personal dignity and values in medical care.
When completing the sale of a motorcycle, it is important to utilize the proper documentation to ensure a smooth transaction. The Pennsylvania Motorcycle Bill of Sale form is a crucial legal document that facilitates this process, and for those looking for additional resources, Auto Bill of Sale Forms can offer valuable templates and guidance.
Georgia Living Will - A Living Will is recognized by medical professionals as a serious directive.
Similar forms
A Living Will is an important document that outlines your wishes regarding medical treatment in case you become unable to communicate those wishes yourself. Several other documents serve similar purposes in ensuring your healthcare preferences are respected. Here’s a list of eight documents that are comparable to a Living Will:
- Advance Healthcare Directive: This document combines a Living Will and a healthcare power of attorney. It allows you to specify your medical treatment preferences and appoint someone to make decisions on your behalf.
- Durable Power of Attorney for Healthcare: This document designates a trusted person to make healthcare decisions for you if you are unable to do so. It focuses more on decision-making authority than specific treatment preferences.
- Do Not Resuscitate (DNR) Order: A DNR order specifically instructs medical personnel not to perform CPR if your heart stops or you stop breathing. It is a clear directive about your wishes in emergency situations.
- Physician Orders for Life-Sustaining Treatment (POLST): This is a medical order that outlines your preferences for treatments like resuscitation and artificial nutrition. It is designed for individuals with serious illnesses.
- Loan Agreement: For secure borrowing arrangements, consult the comprehensive Loan Agreement form guide that outlines essential terms and conditions for lenders and borrowers.
- Healthcare Proxy: Similar to a durable power of attorney, a healthcare proxy allows you to appoint someone to make healthcare decisions for you, but it may not include specific treatment instructions.
- Mental Health Advance Directive: This document allows you to outline your preferences for mental health treatment in case you are unable to express your wishes during a mental health crisis.
- Organ Donation Form: While not directly about medical treatment, this document expresses your wishes regarding organ donation after death, ensuring your preferences are honored.
- End-of-Life Care Plan: This document provides a comprehensive overview of your preferences for end-of-life care, including comfort measures and pain management, in addition to your wishes for life-sustaining treatments.