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1337 full name birth date this is my health care power of attorney.

Health care printable durable power of attorney form ohio.

I revoke all prior health care powers of attorney signed by me. To make things a little confusing states use various terms to describe their advance directive forms. The ohio durable medical power of attorney for health care form is a legally binding document that lets the principal select another person called the agent to become a facilitator of the patient s health care treatment. This facilitation becomes effective should the principal become no longer able to make these decisions themselves.

You should select someone you trust to serve as your agent. Free printable medical health care power of attorney forms. The representative may not choose any end of life decisions unless the principal specifically writes in that he or she would like that as an option. I understand the nature and purpose of this document.

Power of attorney act sections 1337 21 to 1337 64 of the revised code. Ohio health care power of attorney page two of twelve guardian means the person appointed by a court through a legal procedure to make decisions for a ward. If any provision is found to be. Ohio health care power of attorney page one of twelve state of ohio health care power of attorney r c.

If any provision is found to be invalid or unenforceable it will not affect the. The person authorized to represent the principal person who executed the document is called an attorney in fact and they will be handling all or most of the principal s personal finances and business affairs. Advance directive is the general term that refers to the various documents that could include a living will instruction directive health care proxy or health care power of attorney. The ohio durable power of attorney form is designed to establish continuous representation regarding a person s finances.

Health care means any care treatment service or procedure to maintain diagnose or treat an individual s physical or mental health. 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 this is good to have in place in the event you are in an accident and are unconscious or are planning to be in surgery. If after reading this notice you still have. Unless you specify otherwise generally the agent s authority will continue until you die or revoke the power of.

I understand the nature and purpose of this document. A guardianship is established by such court appointment. This power of attorney does not authorize the agent to make health care decisions for you.

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