Ohio Health Care Power of Attorney Template

Ohio Health Care Power of Attorney Template

An Ohio Health Care Power of Attorney template with completion notes and the blank form. Ohio adults who want to name a health care decision-maker if they cannot decide for themselves.

What's included

• Health Care Power of Attorney (11 pages): names a health care attorney in fact and alternates under Ohio Rev. Code 1337.11 to 1337.17, opens with the Notice to Adult Executing This Document required by section 1337.17 (reproduced verbatim, with its required capitals), and includes the capitalized nutrition and hydration statement with an initial line, immediate access to health information, and an optional guardian nomination.

Each document starts on its own page with plain-English completion notes, followed by the blank form. Where Ohio law supplies a form or required notice, the statutory wording is reproduced verbatim.

Signing requirements (Ohio)

• Health Care Power of Attorney: signed at the end and dated, then either two adult witnesses or a notary acknowledgment. Relatives by blood, marriage or adoption, the attorney in fact and alternates, the attending physician, and a nursing home administrator may not witness (Ohio Rev. Code 1337.12).

File formats

Editable Word (.docx) and print-ready PDF (US Letter) for every document, delivered as a ZIP digital download. Nothing is shipped.

Legal research last verified September 29, 2026.

This is a fill-in template, not legal advice. Laws change; check your state's current requirements before signing.

Licensed to the original purchaser for personal use only; not for resale or redistribution.

Some content in this template was drafted with the help of AI tools and reviewed before listing.