Are you thinking about creating a living will in Ohio? Ohio has laid out various laws governing living wills and their validity, so your living will should be created keeping these laws in mind.
The best way to do this is to download the Ohio living will form completely free from CocoSign. You can then edit this living will template in any way you like or directly fill out your details in the will. Keep reading to learn more about the living will form in Ohio.
What Is an Ohio Living Will?
Ohio living will is a legal document that is used by an individual who may express their medical preferences in advance when the end of life situations might render them unable to express those decisions at that time.
For example, certain people feel that being on life support and feeding mechanisms hurts their dignity with which they want to live. They want to avoid life support, but being in a comatose state can render them unable to make that decision.
Therefore, they can make these decisions in advance through the Ohio living will form. The copies of the form can be sent to their physician and family members. They can execute the living will when it is needed.
The other benefit of Ohio living will document is that it can help family members and friends of the individual too. Decisions like putting an individual off life support can be hard to make by the loved ones. The living will document saves them the pain of making such decisions.
Download and Use Our Ohio Living Will Form Template Now!
Our Ohio living will form template includes all the necessary sections, and you'll be able to change or customize them as needed. It is fully written and approved by experts so you know it is perfect for your use!
What Should Be Included in an Ohio Living Will?
An Ohio living will should contain the following information:
Declarant Details:
The form should include the full name and date of birth of the declarant. Make sure to write the correct spelling of the name in the living will form. They should also include the date on which they are signing and filling the form.
Directives:
The form contains the various end of life situations along with the options on how the declarant would like to proceed in each of these situations. The declarant can read the situations carefully and decide the options that they would like to proceed with.
Additional Requests:
Declarants aren’t just limited to choose the options presented in the living will form. You can also choose your own requests after discussing it with your physician.
Signatures:
Once the declarant has carefully read all the information provided in the Ohio living will form, they can then sign the form along with the date.
What Are Living Will Laws in Ohio?
Ohio has some laws that govern the creation and implementation of living wills. Here are some of these laws:
- The directions in the living will can be implemented only if the declarant is in a terminal condition or permanently unconscious.
- In order for the living will to be valid, the declarant should be an adult of a sound mind. Additionally, the living will should have the signature of the declarant too.
- The living will needs to be signed by two witnesses or by a notary public who can agree to the fact that the declarant is of sound mind.
- The declarant can revoke the living will at any time provided that they communicate the wishes to the physician or the witnesses.
Download and Use Our Ohio Living Will Form Template Now!
Our Ohio living will form template includes all the necessary sections, and you'll be able to change or customize them as needed. It is fully written and approved by experts so you know it is perfect for your use!
Endnotes
If you want to create a living will form in Ohio, the process is quite simple. Download the Ohio living will form through CocoSign for free and fill the details directly in the ready to use document.
You can also edit the form to make any changes to it. CocoSign also offers a lot of other agreements and form templates, so feel free to browse through the entire CocoSign library and download any document you see fit.
DOCUMENT PREVIEW
Ohio Living Will Declaration
I, _________________________, being of sound mind, willfully and voluntarily make this declaration governing the use or continuation, or the withholding or withdrawal, of life-sustaining treatment should I be in a terminal condition or a permanently unconscious state and make known my desire that my dying shall not be artificially prolonged under the circumstances set forth below, do hereby declare:
LIFE-SUSTAINING TREATMENT CHOICES
I direct that my health care providers and others involved in my care provide, withhold or withdraw life-sustaining treatment in accordance with the choice I have initialed below:
_____ (a) Choice Not to Prolong Life
I do not want my life to be prolonged if my physician decides that either of the following is true:
(i) I am in a terminal condition which means an irreversible, incurable, and untreatable condition caused by disease, illness, or injury from which, to a reasonable degree of medical certainty as determined in accordance with reasonable medical standards by my attending physician and one other physician who has examined me from which there can be no recovery and death is likely to occur within a relatively short time if life-sustaining treatment is not administered.
(ii) I am in a permanently unconscious state which means a state of permanent unconsciousness that, to a reasonable degree of medical certainty as determined in accordance with reasonable medical standards by my attending physician and one other physician who has examined me, is characterized by both an irreversible unawareness of one's being and environment and total loss of cerebral cortical functioning, resulting my having no capacity to experience pain or suffering.
_____ (b) Choice to Prolong Life
I want my life to be prolonged as long as possible within the limits of generally accepted health care standards, even if I am in a terminal condition or I am in a persistent vegetative as determined my attending physician and a second physician who has examined me.
ARTIFICIAL NUTRITION AND HYDRATION
_____ (a) Artificial nutrition and hydration should not be provided, or should be stopped, based on the other life sustaining treatment choice I have made in paragraph (1) above.
I authorize my attending physician to withhold or withdraw nutrition or hydration when I am in a permanently unconscious state and when the nutrition and hydration will not or no longer serve to provide comfort to me or alleviate my pain and if my attending physician and at least one other physician who has examined me determines, to a reasonable degree of medical certainty and in accordance with reasonable medical standards, that nutrition or hydration will not or no longer will serve to provide comfort to me or alleviate my pain.
_____ (b) Artificial nutrition and hydration should be provided regardless of my condition and regardless of the life sustaining treatment choice I have made in paragraph (1) above.
In the absence of my ability to give directions regarding the use of such life-sustaining treatment, it is my intention that this declaration shall be honored by my family and physician(s) as the final expression of my legal right to refuse medical or surgical treatment and accept the consequences of such refusal.
You have the right to revoke this declaration at any time and in any manner.
ANATOMICAL GIFT (OPTIONAL)
_____ I do not want to make an anatomical gift.
_____ I want to make an anatomical gift according to the following.
Upon my death, the following are my directions regarding donation of all or part of my body:
In the hope that I may help others upon my death, I hereby give the following body parts:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
for any purpose authorized by law: transplantation, therapy, research, or education.
If I do not indicate a desire to donate all or part of my body by filling in the lines above, no presumption is created about my desire to make or refuse to make an anatomical gift.
Note: There is a donor registry enrollment form that permits the donor to be included in the donor registry created under section 2108.23 of the Ohio Revised Code.
SIGNATURE OF DECLARANT
Signed: ________________________________________ Date: ____________________
Address: ________________________________________________________________
City, County, State of Residence: ____________________________________________
WITNESSES OR NOTARY PUBLIC
The declarant has been personally known to me and I believe the declarant to be of sound mind and not under or subject to duress, fraud or undue influence. The declarant signed or acknowledged this declaration in my presence. I am an adult and am not related to the declarant by blood, marriage or adoption, am not the attending physician of the declarant, and am not the administrator of any nursing home in which the declarant is receiving care.
Witness One: ______________________________________ Date: _________________
Print Name: _____________________________________________________________
Address: ________________________________________________________________
Witness Two: ______________________________________ Date: _________________
Print Name: _____________________________________________________________
Address: ________________________________________________________________
OR
NOTARY PUBLIC
I believe the declarant to be of sound mind and not under or subject to duress, fraud or undue influence.
State of Ohio
County of _________________________) ss.
Sworn to and subscribed in my presence this _____ day of __________________, 20___.
____________________________
Signature
____________________________
Printed Name
Notary Public, State of Ohio
