Homepage Printable Living Will Document Official Living Will Template for Ohio
Article Structure

When contemplating the complexities of healthcare decisions in times of incapacitation, individuals in Ohio have a powerful tool at their disposal—the Ohio Living Will form. This crucial document acts as your voice when you are unable to convey your medical preferences yourself due to severe illness or incapacitation. It meticulously outlines your wishes regarding life-sustaining treatments, such as the use of ventilators, feeding tubes, and other life-support measures, ensuring that your healthcare providers understand and respect your desires. The form also covers preferences on pain relief, organ donation, and other critical end-of-life decisions, making it an essential part of estate planning. By completing this form, residents of Ohio can alleviate the emotional burden on family members who might otherwise be tasked with making these difficult decisions on their behalf. The Ohio Living Will form embodies a thoughtful approach to planning for the unexpected, providing peace of mind to both the individual and their loved ones.

Ohio Living Will Preview

Ohio Living Will Declaration

This Living Will Declaration is specifically tailored to comply with the statutes of the State of Ohio, formally recognizing the rights of individuals to control decisions relating to their own medical care, including the decision to have life-sustaining treatment provided, withheld, or withdrawn in instances of a terminal condition or permanent unconsciousness as defined under Ohio law.

Please complete the following information:

Full Legal Name: ___________________________________________________

Date of Birth: _____________________________________________________

Address: ___________________________________________________________

City: _________________________ State: OH Zip: _____________________

Primary Phone: ___________________________

Email: ___________________________________

In accordance with the Ohio Revised Code, Chapter 2133, known as the "Ohio Living Will Act," I hereby declare my wishes:

Should I be in a terminal condition or permanently unconscious, I direct that:

  1. My healthcare providers shall withhold or withdraw treatment that only prolongs the process of dying and is not necessary for my comfort or to alleviate pain.
  2. Nutrition and hydration, whether provided orally or by tube, are to be withheld or withdrawn if my attending physician and at least one other physician determine that I am in a permanent unconscious state or suffering from a terminal condition and that the provision of nutrition and hydration will not provide comfort or relieve pain.
  3. I wish to designate the following individual as my healthcare power of attorney (also known as a healthcare proxy) to make medical decisions for me if I am unable to do so myself:
    Name: _______________________________________
    Relationship: ________________________________
    Phone: _______________________________________
    Alternate Contact (optional):
    Name: _______________________________________
    Relationship: ________________________________
    Phone: _______________________________________
  4. In the event that I cannot communicate my healthcare preferences, and I am in a state where there is no reasonable expectation of recovery, I desire that my healthcare team prioritize comfort care, aiming to relieve pain and suffering, and allowing natural death.

This declaration reflects my firm intention and desire concerning my medical treatment and care. I understand that I may revoke this declaration at any time.

Date: _________________

Signature: ___________________________________

Witness Statement: I declare that the person signing this document is personally known to me and appears to be of sound mind and under no duress, fraud, or undue influence. I am not the person appointed as healthcare power of attorney by this document.

Name of Witness #1: ___________________________________________________

Signature of Witness #1: ______________________________________________

Date: _________________

Name of Witness #2 (Optional): _________________________________________

Signature of Witness #2: _______________________________________________

Date: _________________

Notice: This document does not authorize the provision, withholding, or withdrawal of healthcare that would be inconsistent with generally accepted healthcare standards applicable to the healthcare provider or institution treating the patient.

File Attributes

Fact Description
1. Purpose An Ohio Living Will is a legal document that lets a person (the principal) outline their preferences regarding medical treatment in case they become unable to communicate or make decisions.
2. Scope It covers decisions about medical care, including life support, resuscitation, and feeding tubes, when a person is terminally ill or permanently unconscious.
3. Governing Law The Ohio Revised Code, specifically sections 2133.01 to 2133.15, governs the creation and operation of Living Wills in the state.
4. Eligibility To create a Living Will in Ohio, an individual must be at least 18 years old, of sound mind, and acting of their own free will.
5. Witnesses The signing of an Ohio Living Will must be witnessed by two eligible adults or notarized by a notary public.
6. Restrictions for Witnesses Witnesses cannot be the principal's relative by blood, marriage, or adoption, entitled to any part of the principal's estate, or directly financially responsible for the principal's medical care.
7. Revocation An individual can revoke their Ohio Living Will at any time, in any manner, without requiring a specific form or procedure.
8. Activation The directives in the Living Will become effective when it is provided to the attending physician, and the principal is determined to be in a terminal condition or permanently unconscious.
9. Requirements The Ohio Living Will must clearly state the principal's specific wishes regarding healthcare treatments and interventions.
10. Accessibility It is recommended that copies of the Living Will be given to the principal's physician, close family members, and healthcare proxy (if one is appointed), to ensure wishes are followed.

Guidelines on Filling in Ohio Living Will

Understanding how to properly fill out the Ohio Living Will form is a crucial step for ensuring your healthcare wishes are respected and followed in the event that you're unable to express them. This document enables you to outline what medical treatments you would or would not like to receive if you become seriously ill or incapacitated. The process is straightforward if you follow these designated steps carefully. Let's walk through how to complete this important form effectively.

  1. Start by clearly printing your full name, birth date, and address at the top of the form to identify yourself as the declarant.
  2. Read the initial declarations and statements about your healthcare wishes carefully. These sections outline the purpose of the living will and provide a background on what it covers.
  3. In the sections that follow, specify your preferences regarding life-sustaining treatment. This includes decisions on the use of ventilation, tube feeding, and other forms of life support.
  4. Make decisions regarding the use of artificially or technologically supplied nutrition and hydration, if you're in a state where recovery is not expected.
  5. Consider whether you wish to donate your organs upon death, and if so, mark the appropriate option and specify which organs or tissues you intend to donate.
  6. Appoint a healthcare power of attorney by entering the name, address, and phone number of the person you trust to make healthcare decisions on your behalf, should you become unable to do so. This step is optional but recommended.
  7. Review all your choices carefully. Ensure that the information provided reflects your true healthcare desires.
  8. Sign and date the form in the presence of a notary public or two adult witnesses, who will also need to sign, affirming that you were of sound mind and free from duress at the time of signing. Their contact information should also be included if required.
  9. Finally, inform a family member or close friend that you have completed a living will and provide them with a copy. It's also wise to give a copy to your healthcare provider to include in your medical records.

After filling out the Ohio Living Will form according to these steps, you have taken a critical action in managing your future healthcare. It's a thoughtful process that not only documents your healthcare preferences but also aids your loved ones and healthcare providers in understanding and respecting your wishes, should the need arise. Keep your document in a safe but accessible place, and consider reviewing it periodically as your health circumstances or preferences may change.

More About Ohio Living Will

What is a Living Will form used for in Ohio?

A Living Will form in Ohio is a legal document that allows you to declare your wishes about medical treatment you want to receive or refuse in situations where you are unable to communicate your decisions due to incapacity. It specifically addresses scenarios of terminal illness or permanent unconsciousness. This document helps ensure that your healthcare preferences are known and considered by your family and healthcare providers.

How can I obtain a Living Will form in Ohio?

You can obtain an Ohio Living Will form by downloading it from the Ohio Department of Health's website. Additionally, hospitals, health care providers, and attorneys specializing in healthcare matters usually provide these forms. It's important to ensure that the form is current and complies with Ohio law.

Who should have a copy of my Living Will?

Once your Living Will is signed and witnessed (or notarized), you should provide copies to:

  • Your family members, especially those likely to be involved in making healthcare decisions on your behalf.
  • Your primary care physician and any other healthcare providers you see regularly.
  • Your healthcare proxy or durable power of attorney for healthcare, if you have appointed one.
  • It is also recommended to keep a copy in a safe but accessible place at home.

Does an Ohio Living Will need to be notarized or witnessed?

In Ohio, your Living Will must either be witnessed by two individuals who are not related to you by blood, marriage, or adoption and are not your heirs or beneficiaries, or it must be notarized. The witnesses or notary public confirm that you are of sound mind and not under duress when you sign the document.

Can I change or revoke my Living Will in Ohio?

Yes, you can change or revoke your Living Will at any time. To make changes, you should complete a new Living Will form, ensuring it is witnessed or notarized according to Ohio law. To revoke your Living Will, you can do so by any of the following methods:

  1. Destroying the document physically.
  2. Writing and signing a statement expressing your intent to revoke it.
  3. Verbally expressing your wish to revoke the document in the presence of a witness, who is 18 years of age or older.
  4. Creating a new Living Will or Health Care Power of Attorney that contradicts the old Living Will.
It's crucial to inform your healthcare providers, healthcare proxy, and family members if you decide to change or revoke your Living Will.

When does an Ohio Living Will become effective?

An Ohio Living Will becomes effective when:

  1. You are unable to communicate your healthcare decisions.
  2. Two physicians determine that you are either in a terminal condition or permanently unconscious.
It is only applied under these specific conditions and when you are unable to make decisions for yourself.

Is an Ohio Living Will the same as a Durable Power of Attorney for Health Care?

No, an Ohio Living Will and a Durable Power of Attorney for Health Care (DPOA-HC) serve different purposes. A Living Will specifically outlines your wishes concerning medical treatment in the event of a terminal condition or permanent unconsciousness. A DPOA-HC appoints someone else (a health care proxy) to make health care decisions on your behalf if you are unable to do so. It’s possible and often recommended to have both documents in place to ensure comprehensive coverage of your healthcare preferences.

What should I do if my healthcare provider refuses to follow my Living Will in Ohio?

If your healthcare provider refuses to comply with your Living Will, Ohio law requires the provider to make reasonable efforts to transfer you to a healthcare provider willing to respect your wishes. It's important to have open and clear discussions with your healthcare providers about your Living Will and to provide a copy to them well in advance of any potential need. If conflicts arise, involving your healthcare proxy, family, or legal counsel may be necessary to ensure your wishes are honored.

Common mistakes

When filling out the Ohio Living Will form, people often aim to ensure their healthcare wishes are clearly documented. However, mistakes can happen. Recognizing these mistakes is the first step towards ensuring that the living will truly reflects an individual’s preferences regarding healthcare.

  1. Not thoroughly reading the instructions. Many individuals jump straight into filling out the form without a comprehensive review of the instructions. This oversight can lead to misunderstandings about how to appropriately indicate their healthcare preferences.

  2. Leaving sections incomplete. It’s crucial to fill out every relevant part of the form. Skipping sections can lead to confusion and might result in crucial preferences not being followed.

  3. Using unclear language. The use of vague terms or unclear descriptions can lead to interpretations that don’t align with the individual's true wishes. It’s important to be as clear and precise as possible.

  4. Failing to update the form. Life circumstances and health care preferences change, but individuals often forget to update their living will to reflect these changes. Regularly reviewing and updating the document is crucial.

  5. Not discussing the document with healthcare providers and loved ones. Even if the living will is perfectly filled out, not sharing its contents with doctors and family members can lead to its provisions not being honored. Communication is key.

  6. Forgetting to sign and date the form. The oversight of not properly signing or dating the document can question its validity. This formality is an essential step in finalizing the living will.

By steering clear of these mistakes, individuals can ensure their living will is a clear, valid document that reflects their healthcare wishes.

Documents used along the form

Creating a comprehensive estate plan involves much more than just drafting a Living Will. In Ohio, individuals often use a variety of forms and documents alongside their Living Will to ensure that all aspects of their health care preferences and estate planning wishes are clearly outlined and legally enforceable. These documents work together to provide a complete framework that respects an individual's wishes regarding medical treatment, asset distribution, and care in the event of incapacity. The following is a rundown of up to 10 other essential forms and documents commonly used with the Ohio Living Will form.

  • Health Care Power of Attorney: This document allows you to appoint someone to make health care decisions on your behalf if you are unable to do so. Unlike a Living Will, which only addresses end-of-life decisions, a Health Care Power of Attorney covers all health care decisions.
  • Durable Power of Attorney for Finances: This enables you to nominate someone to manage your financial affairs if you become incapacitated. It can cover a broad range of financial responsibilities, from paying bills to managing investments.
  • Last Will and Testament: A crucial document that specifies how you want your assets distributed after your death. It also allows you to name an executor to oversee the distribution process.
  • Do Not Resuscitate (DNR) Order: A medical order that tells health care providers not to perform CPR if your breathing stops or if your heart stops beating. It's often used by individuals with a terminal illness or those who wish to avoid aggressive medical interventions at the end of life.
  • Organ and Tissue Donation Form: Specifies your wishes regarding organ and tissue donation after death. Completing this form can help ensure your wishes are carried out and can potentially save lives.
  • Declaration for Mental Health Treatment: Allows you to state your preferences for mental health treatment in the event that you are unable to make decisions for yourself due to a mental health condition.
  • Funeral Planning Declaration: Lets you outline your preferences for your funeral services and burial or cremation. This can alleviate the burden on your loved ones by making your wishes known in advance.
  • Digital Asset Management Plan: Provides instructions and permissions for someone to manage your digital assets (such as social media accounts, online banking, emails) after your death or incapacitation.
  • Trust Documents: If you choose to establish a trust as part of your estate plan, various documents must be drafted to specify the terms of the trust, designate a trustee, and provide for the distribution of the trust's assets.
  • Letter of Instruction: Although not legally binding, this document provides supplementary information for those managing your estate or funeral arrangements, such as account passwords, location of important documents, and personal wishes.

While a Living Will is a significant step in planning for the future, these additional forms and documents can enhance your preparedness, ensuring that all aspects of your health and estate are managed according to your wishes. Each document serves a specific purpose and provides an added layer of security and clarity for both you and your loved ones. It's often advisable to seek guidance from a legal professional when preparing these documents to ensure they are correctly executed and legally valid..

Similar forms

The Ohio Living Will form is similar to other advanced directive forms in several key aspects, yet it has its unique features. Individuals use these documents to outline their preferences for medical treatment in the event they become unable to communicate their wishes. The Ohio Living Will specifically allows one to detail their wishes regarding life-sustaining treatment, artificial nutrition, and hydration.

The Healthcare Power of Attorney (POA) is another document that shares similarities with the Ohio Living Will. Both documents are crucial for planning future healthcare decisions. The Healthcare POA, however, differs significantly by appointing an agent to make health care decisions on behalf of the individual, should they become incapacitated. This means while the Living Will expresses specific wishes about treatment, the Healthcare POA designates a person to make decisions that are in line with those wishes or as they deem appropriate under the circumstances.

A Do-Not-Resuscitate (DNR) Order is also akin to the Ohio Living Will in its focus on end-of-life decisions. A DNR specifically instructs healthcare providers not to perform CPR if a person's breathing stops or if the heart stops beating. Unlike the Living Will, which covers a broader range of treatments and scenarios, a DNR is strictly limited to the absence of resuscitative efforts during cardiac or respiratory arrest. Both documents serve to communicate critical healthcare preferences in advance, ensuring that medical treatment aligns with the individual's values and desires.

Dos and Don'ts

When it comes to filling out the Ohio Living Will form, it's crucial to approach the process with care and accuracy. This document is an essential part of planning for the future, and it requires thoughtful consideration. To assist you, here are key dos and don'ts to keep in mind:

Do:

  • Read all instructions carefully before you start filling out the form. It’s important to understand each section fully to ensure accurate completion.
  • Use black ink when completing the form. This ensures that the document is legible and can be photocopied or scanned without issue.
  • Be as specific as possible when detailing your healthcare wishes. Clarity will help healthcare providers and your family understand your preferences.
  • Sign and date the form in the presence of a notary or two adult witnesses. This step is crucial for the document to be legally binding.
  • Discuss your living will with your family, healthcare proxy (if you have one), and healthcare providers. Ensuring that they are aware of your wishes can make it easier for them to carry out those wishes should the need arise.

Don't:

  • Fill out the form in a hurry. Take your time to think about your decisions and how you’d like your wishes to be carried out.
  • Use pencil or any ink other than black. Documents completed in other mediums may not be considered legitimate.
  • Leave sections blank unless you are certain they do not apply to you. If a section is irrelevant, consider marking it with “N/A” to indicate this clearly.
  • Forget to update the form if your wishes change. It’s important to review and possibly revise your living will periodically.
  • Assume your family and healthcare providers will automatically know your wishes without a discussion. Communication is key to ensuring your wishes are known and respected.

Misconceptions

When it comes to the Ohio Living Will form, understanding what it is and what it isn't can help you make informed decisions about your healthcare wishes in the future. While it's a critical document for stating your preferences should you become unable to communicate them yourself, there are several misconceptions surrounding its use and implications. Let's dispel some of these myths.

  • It's only for the elderly: A common misconception is that living wills are only necessary for older adults. However, life is unpredictable, and unexpected medical situations can arise at any age. An Ohio Living Will is a prudent document for any adult to consider, as it ensures one's healthcare wishes are known and can be followed in critical situations.

  • It covers all health decisions: Some might believe that a living will addresses every possible health care decision. In reality, it is specifically designed to kick in if you are terminally ill or permanently unconscious and cannot make decisions for yourself. For broader coverage, you should also consider a Healthcare Power of Attorney.

  • It takes effect immediately upon signing: Another misunderstanding about the Ohio Living Will is that it becomes effective as soon as it is signed. The truth is, it only comes into play under the conditions stated within the document, such as if you are unable to make your own medical decisions.

  • A lawyer is needed to complete it: While legal advice can be beneficial, especially in complex situations, it is not a requirement for completing an Ohio Living Will. The state provides forms designed to be straightforward and self-explanatory, allowing you to complete them without mandatory legal assistance.

  • It's only for withholding treatment: Some people think living wills are solely meant to deny or withhold treatment, leading to death. The reality is that these documents can also specify conditions under which you would like to receive all possible treatments, reflecting a broad range of preferences about end-of-life care.

  • You can't change it once it's made: It's a common belief that once an Ohio Living Will is created, it is set in stone. On the contrary, you have the right to revise or revoke it at any time, ensuring that it always reflects your current wishes as long as you are mentally competent to do so.

  • Hospitals can ignore it: While it's true that medical emergencies can sometimes lead to quick decisions that might overlook documentation, legally, healthcare providers and hospitals in Ohio are bound to respect the wishes outlined in your Living Will, provided they are aware of its existence and it is properly executed according to state laws.

  • It's the same as a Last Will and Testament: Often, individuals confuse a living will with a Last Will and Testament, but they serve very different purposes. A Living Will relates to healthcare decisions during one's lifetime under certain conditions, while a Last Will and Testament deals with the distribution of an individual's estate after their death.

Understanding the specifics of the Ohio Living Will form can significantly impact how you plan for the future. Dispelling these misconceptions allows you to take control of your medical decisions, ensuring your healthcare preferences are clearly understood and respected, regardless of what the future may hold.

Key takeaways

The Ohio Living Will form is an important legal document. By completing it, you are making your healthcare wishes known in advance, should you become unable to communicate those wishes yourself. Here are key takeaways to consider when filling out and using this form:

  • Understand the Purpose: A Living Will allows you to document your preferences for medical treatment in situations where you are unable to make decisions for yourself. This could include your wishes concerning life-sustaining treatment and end-of-life care.
  • Meet Legal Requirements: Ensure your Living Will meets Ohio's legal requirements. This includes being of sound mind when completing the form, being at least 18 years old, and having the document witnessed or notarized as specified by Ohio law.
  • Be Specific: Provide specific instructions regarding your healthcare wishes. This includes specifying what types of life-sustaining treatments you would or would not want to receive under certain medical conditions.
  • Choose a Healthcare Proxy Wisely: While the Living Will itself does not appoint a healthcare power of attorney, considering who you would want to make healthcare decisions on your behalf if necessary, is advisable. This person should understand your values and be willing to advocate for your wishes.
  • Discuss Your Wishes: It is crucial to discuss your healthcare wishes with your family, close friends, and especially your healthcare providers to ensure everyone is aware of your preferences. This can help prevent conflicts and ensure your wishes are honored.
  • Review and Update Regularly: Your healthcare preferences may change over time. Regularly reviewing and updating your Living Will ensures it accurately reflects your current wishes. It is especially important to update your Living Will after major life events such as marriage, divorce, the birth of a child, or a significant change in health.
  • Keep it Accessible: Once completed, keep your Living Will in a safe but accessible place. Inform your healthcare proxy, family members, and healthcare providers of where it is kept. You might also consider giving copies to these individuals for their records.

By considering these key aspects, you can ensure that your Ohio Living Will effectively communicates your healthcare preferences, providing peace of mind for you and your loved ones.

Please rate Official Living Will Template for Ohio Form
4.68
Exceptional
188 Votes