Ohio Medical Power of Attorney Form

An Ohio medical power of attorney allows a principal to choose someone else ("agent" or "attorney-in-fact") to make health care decisions on their behalf. The power granted in this document only becomes available when the principal can no longer think for themselves.

Updated April 22, 2025

Signing Requirements

Two witnesses or a notary public.^[1]^[2]

“Durable Power of Attorney for Health Care” Definition

“Durable power of attorney for health care” means a writing or other record that grants authority to an agent on behalf of the principal with decisions regarding health care.^[3][4]

Is There a Statutory Form?

No, the state of Ohio does not have a statutory form that must be used.

Sample

Download: PDF

Sources

§ 1337.12(B)
§ 1337.12(C)
§ 1337.22(G)
§ 1337.11(H)