Homepage Blank Ohio Living Will Form
Jump Links

When considering the future, individuals often strive to ensure their healthcare wishes are respected, even in situations where they cannot speak for themselves. In Ohio, one critical tool in this planning process is the Ohio Living Will form. This document serves as a legal way for residents to articulate their decisions regarding life-sustaining treatments and end-of-life care ahead of time, providing peace of mind to both them and their families. It clearly outlines what medical actions should be taken if they become unable to communicate their desires due to severe health conditions. The form also appoints a healthcare proxy, empowering someone they trust to make decisions on their behalf, ensuring adherence to their stated preferences. Importantly, it helps avoid the emotional burden on family members who might otherwise have to guess their loved one's wishes in traumatic times. With its structured layout, the Ohio Living Will form plays a pivotal role in personal health care planning, reflecting thoughtful consideration for future uncertainties.

Example - Ohio Living Will Form

Ohio Living Will

This document serves as a Living Will, designed in accordance with the Ohio Living Will Act (Ohio Revised Code Chapter 2133). It is a legal document that records an individual's healthcare preferences in the event they become unable to communicate these decisions due to incapacitation.

Part 1: Principal Information

Full Name: ___________________________________________________

Birth Date: ___________________________________________________

Address: ___________________________________________________

City: ___________________________ State: OH Zip Code: ___________________

Part 2: Health Care Directives

In the event that I am unable to make healthcare decisions for myself due to incapacitation, I hereby direct the following:

  1. Lifesaving Treatment: In situations where my life can only be sustained by life support and there is no reasonable expectation of recovery,
    • ____ I wish to receive all life-sustaining treatments, including resuscitation.
    • ____ I do not wish to receive the following treatments: ________________________________.
  2. Artificial Nutrition and Hydration: In the case that I cannot feed myself and require artificial means of nutrition and hydration,
    • ____ I consent to the use of artificially provided food and water.
    • ____ I do not consent to the use of artificial nutrition and hydration.
  3. End-of-Life Care: Should my condition be irreversible and incurable,
    • ____ I wish to receive treatment to alleviate pain and suffering, even if it may not prolong life.
    • ____ I refuse any treatments that serve only to prolong the dying process.

Part 3: Health Care Power of Attorney

I hereby appoint the following individual as my health care power of attorney to make medical and treatment decisions on my behalf if I am unable to do so:

Name: ___________________________________________________

Relationship: ____________________________________________

Phone Number: ____________________________________________

If my primary agent is unable or unwilling to serve, I appoint the following individual as an alternate agent:

Name: ___________________________________________________

Relationship: ____________________________________________

Phone Number: ____________________________________________

Part 4: Signature

To ensure the directives stated in this Living Will are honored, it must be signed in the presence of two adult witnesses or a notary public, neither of whom is the appointed health care agent or alternate, a relative by blood, marriage, or adoption, or your attending physician.

Signature: _______________________________________________ Date: ________________

Witness 1 Signature: _______________________________________ Date: ________________

Witness 2 Signature: _______________________________________ Date: ________________

Document Details

Fact Detail
Purpose An Ohio Living Will is a legal document that outlines an individual’s preferences regarding medical treatment in the event they become unable to make decisions for themselves.
Governing Laws Ohio's Living Will Declaration is governed by sections 2133.01 to 2133.15 of the Ohio Revised Code.
Required Signatures The document must be signed by the declarant and either witnessed by two adults who are not related to the declarant by blood, marriage, or adoption, or a notary public.
Healthcare Decisions Covered Decisions regarding life-sustaining treatment, including artificial nutrition and hydration, and any other medical treatment that can prolong the process of dying when death is imminent.
Effective Period The Ohio Living Will becomes effective when the declarant is diagnosed as terminally ill or permanently unconscious by two physicians.
Revocation The declarant can revoke the document at any time, in any manner, without regard to their mental or physical condition.
Copies Copies of the Ohio Living Will, when given to the attending physician or healthcare facility, have the same validity as the original document.

Detailed Instructions for Using Ohio Living Will

A Living Will is a crucial document that outlines a person’s preferences for medical treatment in situations where they are unable to make decisions on their own. In Ohio, filling out a Living Will form is a straightforward process that enables individuals to express their wishes concerning life-sustaining treatments, organ donation, and other critical care decisions ahead of time. This document ensures that healthcare providers and family members understand and respect the person's choices during challenging times. Following the steps correctly is important to ensure that the form is legally binding and accurately reflects the person's desires.

Steps for Filling Out the Ohio Living Will Form

  1. Begin by obtaining the most current version of the Ohio Living Will form. This can usually be found on the website of the Ohio Department of Health or at a local hospital or attorney's office.
  2. Read the form thoroughly before writing anything. Understanding every section is essential for correctly expressing your wishes.
  3. In the designated section, write your full legal name, date of birth, and the date. Ensure that this information is accurate, as it identifies you and distinguishes your Living Will from others.
  4. Specify your wishes regarding life-sustaining treatment. This includes decisions on the use of machines to keep you alive, receiving nutrition and hydration artificially, and other medical interventions. Clearly indicate whether you want these treatments and under what conditions.
  5. Decide on your preferences for organ and tissue donation. If you choose to donate, specify whether you want to donate all usable organs and tissues or only specific parts. Remember, this decision could save or significantly improve other people's lives.
  6. Some sections ask for more personal decisions and reflections, such as choosing a healthcare proxy or power of attorney. This person will make healthcare decisions on your behalf if you're unable to do so. Select someone you trust and discuss your wishes with them thoroughly.
  7. Review your decisions and ensure that your instructions are clear and reflect your true intentions.
  8. Sign and date the form in the presence of a notary public or two witnesses, as required by Ohio law. Note that these witnesses cannot be anyone who is related to you by blood, marriage, or adoption, nor can they be your estate executor, involved in your medical care, or have claims against your estate.
  9. After completing the form, make several copies. Distribute them to your healthcare proxy, family members, primary care physician, and anyone else who might be involved in your healthcare or legal matters. It's also wise to review and update your Living Will periodically, especially after major life events or changes in health status.

By following these steps, individuals in Ohio can create a Living Will that clearly expresses their healthcare preferences, providing peace of mind for themselves and their loved ones. Completing this process is a valuable step in managing one’s healthcare and ensuring that their wishes are respected.

What You Should Know About Ohio Living Will

What is an Ohio Living Will?

A Living Will is a legal document that allows an individual to outline their healthcare preferences in the event they become unable to communicate or make decisions. In Ohio, this includes decisions about the use of life-sustaining treatment and other medical interventions if someone is terminally ill or permanently unconscious.

Who should have a Living Will in Ohio?

Any competent adult in Ohio can and should consider creating a Living Will. It's particularly important for those with strong opinions about end-of-life care or those with health conditions that could lead to a loss of decision-making capacity.

How does one create a Living Will in Ohio?

To create a Living Will in Ohio, you must complete a Living Will form that meets Ohio legal requirements. This involves specifying your healthcare preferences, signing the document in front of two eligible witnesses, or getting it notarized. It's recommended to consult with a legal professional to ensure the Living Will accurately reflects your wishes and complies with Ohio law.

Are there any specific requirements for witnesses or notarization in Ohio?

Yes, Ohio law requires that your Living Will must be signed in the presence of two eligible witnesses or be notarized. The witnesses cannot be the person who signed the document on your behalf, your spouse, your children, or any other heirs or beneficiaries. They also cannot be directly responsible for your medical costs or associated with your healthcare provider.

Can an Ohio Living Will be revoked?

Yes, at any time and in any manner that communicates an intent to revoke, an individual can revoke their Ohio Living Will. This can be done through a written document, orally stating the intent to revoke, or by destroying the document itself. However, it's important to inform healthcare providers of the revocation to ensure it is reflected in medical records.

What happens if I don't have a Living Will in Ohio?

If you don't have a Living Will in Ohio and become unable to make healthcare decisions, Ohio law provides a hierarchy of individuals who can make decisions on your behalf. This typically starts with a healthcare power of attorney, if you have one, followed by a spouse, adult children, parents, adult siblings, or closest available relative. However, their decisions might not reflect your exact wishes, which is why having a Living Will is beneficial.

Does an Ohio Living Will cover organ donation?

While an Ohio Living Will primarily addresses end-of-life care and treatment, you can include your wishes regarding organ donation. However, it's recommended to also register with the Ohio Donor Registry or carry an organ donor card for clarity and to ensure your wishes are followed.

Where should I keep my Ohio Living Will?

Your Ohio Living Will should be easily accessible in an emergency. It's advisable to give copies to your healthcare agent (if you have one), primary care physician, family members, and perhaps a lawyer. Some people also keep a card in their wallet indicating they have a Living Will and where it can be found.

Common mistakes

Filling out an Ohio Living Will form is a crucial step in ensuring that your healthcare wishes are honored in the event you cannot communicate them yourself. However, errors in completing this document can significantly impact its effectiveness and the ability to fulfill your intentions. Here are seven common mistakes to avoid:

  1. Not providing detailed healthcare instructions. A common mistake is offering vague or overly general directives. It is important to be as clear and detailed as possible about your healthcare preferences, especially regarding life-sustaining treatment and end-of-life care.
  2. Failing to update the document. Healthcare wishes can change over time, but people often forget to update their Living Will accordingly. It's crucial to review and revise your Living Will regularly or after significant life events.
  3. Incorrectly signing or notarizing the document. Each state has specific requirements for signing and witnessing or notarizing a Living Will. In Ohio, not adhering to these requirements can render the document invalid.
  4. Not discussing your wishes with your healthcare proxy and family. Even though your Living Will is documented, your healthcare proxy (if you have designated one) and your family should understand your wishes. Failure to communicate can lead to confusion and conflict during critical moments.
  5. Not choosing a healthcare proxy. While the Living Will addresses your treatment preferences, appointing a durable power of attorney for healthcare decisions ensures there is someone to make healthcare decisions if you are unable to. Many people overlook this complementary step.
  6. Forgetting to include a DNR order if desired. If you do not want to be resuscitated, it is important to formally document this preference in a Do Not Resuscitate (DNR) order, which is separate from a Living Will. Not including it can lead to unwanted resuscitation efforts.
  7. Not making the document accessible. A Living Will cannot be followed if it cannot be found. Ensure that your healthcare proxy, if applicable, and your healthcare providers have copies or know where to find your Living Will.

Avoiding these mistakes can significantly affect how well your healthcare wishes are understood and respected. Thoughtfully completing, updating, and communicating the contents of your Ohio Living With form are key steps in this process.

Documents used along the form

In preparing for the future, individuals often look beyond a Living Will to ensure their wishes are known and respected. Alongside an Ohio Living Will, there are several critical documents that support a comprehensive approach to end-of-life planning and healthcare decision-making. These documents serve distinct but complementary purposes, providing clarity and guidance for both the individual and their healthcare providers under various circumstances.

  • Healthcare Power of Attorney: This document appoints an agent to make healthcare decisions on behalf of the individual if they are incapable of making decisions themselves. The appointed agent works within the guidelines provided by the individual but has the authority to make decisions as situations arise, extending beyond the specific situations covered in a Living Will.
  • DNR Order (Do Not Resuscitate Order): Specifically directs healthcare providers not to perform CPR (cardiopulmonary resuscitation) if the individual's breathing stops or if the heart stops beating. It is distinct from a Living Will, which may cover a broader range of end-of-life wishes. A DNR is medically focused and signed by a physician, reflecting the individual’s current health status and wishes.
  • Organ and Tissue Donation Registration: While not a directive in the sense of guiding treatment, this form registers an individual's decision to donate organs and tissues after death. It can complement a Living Will by ensuring that the wish to donate is formally documented and easily accessible to healthcare providers.
  • Financial Power of Attorney: Another critical aspect of life planning involves managing one's financial affairs. This document empowers another person to make financial decisions and handle transactions on the individual’s behalf. Although not directly related to healthcare, it ensures that the individual's financial responsibilities are taken care of, should they become incapacitated.

Together, these documents create a safety net that encompasses healthcare preferences, emergency medical decisions, and personal and financial affairs. Proper preparation and updating of these documents ensure that an individual's wishes are honored, providing peace of mind to them and their families during critical moments. Just as an Ohio Living Will forms a cornerstone of end-of-life planning, these accompanying documents fortify that foundation, ensuring comprehensive preparation for the future.

Similar forms

The Ohio Living Will form shares similarities with a Durable Power of Attorney for Health Care. Both documents allow individuals to make arrangements for their future health care, but while a living will specifies one's wishes regarding life-sustaining treatment, a durable power of attorney for health care appoints someone else to make healthcare decisions on one's behalf. This includes decisions that may extend beyond those covered in a living will.

Comparable to a Health Care Proxy, Ohio's Living Will serves a similar purpose by documenting the person's desires concerning medical treatments. Where the Living Will focuses on end-of-life care, a Health Care Proxy form designates a trusted individual to make all health care decisions, not limited to end-of-life situations, based on the person's expressed wishes or best interests when they are unable to do so themselves.

An Advance Directive is another document closely related to the Ohio Living Will. It combines aspects of a living will and a health care power of attorney, covering a wider range of health care decisions. Advance Directives outline the person's wishes about medical treatment in more prospective situations and appoint an agent to make decisions when necessary, offering a comprehensive approach to future health care planning.

The Do Not Resuscitate (DNR) Order is specifically related to the Ohio Living Will in context of emergency medical situations. While a Living Will broadly covers preferences for life-sustaining treatment and artificial nutrition and hydration, a DNR Order instructs health care providers not to perform CPR if the person’s heart stops or if they stop breathing. It’s a critical part of emergency medical planning for those with terminal illnesses or in severe medical conditions.

A Five Wishes Document, like an Ohio Living Will, addresses personal, spiritual, and emotional aspects of care in addition to specifying medical treatments. It goes beyond medical instructions to include individuals' preferences regarding their comfort, dignity, and how they want to be treated by others towards the end of their life. In this sense, it provides a holistic approach to end-of-life planning.

The Medical Orders for Life-Sustaining Treatment (MOLST) form operates in the same realm as the Ohio Living Will by dictating preferences for life-sustaining treatment. However, the MOLST form is more medically focused and is intended to guide healthcare professionals in treating patients with serious health conditions, ensuring that medical care aligns directly with the patient's wishes concerning life-sustaining treatments.

An Organ Donation Form, while not a directive for personal care, is often associated with the preparations outlined in Ohio Living Wills. It specifies the person’s intentions regarding the donation of organs and tissue upon their death. This decision is crucial for those wanting to make a life-giving gift as part of their legacy, ensuring their wishes are respected and followed in the event of their death.

Finally, a Financial Power of Attorney is a legal arrangement akin to aspects of the Ohio Living Will, though it focuses on financial and property matters instead of health care decisions. It allows someone to designate another individual to manage their financial affairs if they become incapacitated. This document is crucial for comprehensive planning, ensuring that both financial and health care decisions are responsibly managed.

Dos and Don'ts

Filling out an Ohio Living Will form is a significant action, ensuring your healthcare preferences are known and respected should you be unable to communicate them yourself. When completing this document, it is important to consider both the things you should do and the things you should avoid to make sure your wishes are clearly expressed and legally sound.

Things You Should Do

  1. Read all instructions carefully before you begin. Understanding every section of the form will help you fill it out correctly and completely.
  2. Consult with a healthcare professional if you have questions about medical treatments or conditions mentioned in the form. They can provide valuable insights that might influence your decisions.
  3. Discuss your decisions with close family members or friends. Sharing your wishes can help ensure they are honored and can also provide your loved ones with peace of mind.
  4. Have the form witnessed and notarized (if required) to ensure it meets all legal requirements in Ohio. This often involves signing the document in the presence of two witnesses or a notary public who also sign the form, confirming your identity and your voluntary decision to execute the Living Will.

Things You Shouldn't Do

  • Don't leave any sections blank if they are applicable to your situation. If a section does not apply, consider writing "N/A" (not applicable) to clarify that you did not overlook it.
  • Don't choose witnesses who are your healthcare providers or who might inherit from you. Ohio law may have specific restrictions on who can serve as a witness to avoid conflicts of interest.
  • Avoid using vague language when describing your healthcare preferences. Be as specific as possible to prevent any confusion about your wishes.
  • Don't forget to update your Living Will if your health status or wishes change. A Living Will can be revoked or replaced at any time, but it is up to you to ensure that the most current version is readily available to your healthcare providers.

Misconceptions

When it comes to preparing for the future, especially in terms of health care decisions, many people in Ohio consider creating a Living Will. This document allows individuals to outline their wishes regarding medical treatment if they become unable to communicate those decisions themselves. However, there are several misconceptions about the Ohio Living Will form that need clarification:

  • A Living Will is only for the elderly or terminally ill. This belief couldn't be further from the truth. While it's often associated with the elderly or those facing terminal illness, a Living Will is crucial for any adult. It ensures that a person's wishes concerning medical care are respected, regardless of their age or health status.
  • You need a lawyer to create a Living Will. Many people think that preparing a Living Will requires legal assistance. While consulting a legal advisor can be beneficial, especially in complex situations, Ohio residents can fill out a Living Will form on their own. The state provides forms that are straightforward and easy to understand, ensuring that individuals can establish their wishes without necessarily incurring legal fees.
  • A Living Will goes into effect as soon as it's signed. There's a common misconception that once a Living Will is signed, it immediately influences medical decisions. However, it only comes into effect under specific circumstances, namely when a person cannot communicate their wishes directly, due to incapacitation, and is facing a terminal condition or a permanently unconscious state. Doctors and healthcare providers will evaluate the situation to determine if the Living Will should guide the patient's care.
  • Signing a Living Will means you won't receive any medical treatment. Some people mistakenly believe that a Living Will equates to refusing all medical treatment. In reality, it allows individuals to specify what kinds of treatment they do or do not want to receive in certain situations. This document can outline wishes for pain management, life support, and other interventions, ensuring care that aligns with the person's values and preferences.

Understanding these misconceptions can help Ohio residents make informed decisions about their health care planning, ensuring their wishes are respected and followed in critical moments.

Key takeaways

When considering the creation of a Living Will in Ohio, it’s essential to understand the critical aspects of how to properly fill out and use this important document. A Living Will allows individuals to articulate their wishes about medical treatment if they become unable to communicate those preferences due to severe illness or incapacitation.

Here are six key takeaways regarding the Ohio Living Will form:

  • Understand the Requirements: The Ohio Living Will form must meet specific legal stipulations to be valid. This includes being of sound mind at the time of signing and ensuring the document is either notarized or witnessed by two uninterested parties, meaning witnesses who are not beneficiaries or responsible for the individual's healthcare costs.
  • Precisely Define Your Medical Treatment Preferences: Clarity is crucial when detailing your desires for medical treatment, including the use of life-sustaining procedures, artificial nutrition, and hydration. Your instructions should be detailed to guide healthcare providers in accordance with your wishes.
  • Consider Your Choice of a Healthcare Proxy Carefully: While the Living Will focuses on your treatment preferences, Ohio law also allows you to appoint a healthcare power of attorney (POA) to make decisions on your behalf. Choosing a trusted individual who understands and respects your values and wishes is vital.
  • Keep the Document Accessible: After completing the Living Will, ensure it is easily accessible. Inform your healthcare proxy, if you have one, family members, and your healthcare providers about where the document is stored. Some people choose to file a copy with their physician or in a registry if available in their state.
  • Review and Update as Necessary: Over time, your preferences for medical treatment might change. It is important to review your Living Will periodically and make necessary updates to reflect your current wishes. Remember, a new Living Will should follow the same legal requirements for it to be valid.
  • The Ohio Living Will is State-Specific: While the concept of a Living Will is recognized in many jurisdictions, the specifics can vary from state to state. An Ohio Living Will is tailored to comply with Ohio law and may not be recognized if you receive medical treatment in another state. It’s advisable to create a new Living Will if you move out of Ohio or spend a significant amount of time living in another state.

Creating a Living Will is a proactive step in managing your healthcare and ensuring your wishes are honored, no matter what the future holds. Taking the time to carefully complete the Ohio Living Will form can provide peace of mind to you and your loved ones.

Please rate Blank Ohio Living Will Form Form
4.71
Incredible
181 Votes