Health Care Power of Attorney is a type of legal document that grants another person with the right to make health care decisions for the principal (an initial author of the document) in cases when it is medically proved that the principal is no longer capable of making such decisions for themselves. Such medical statements are made by an attending physician. If a physician states that his client (the principal) at some point became incapable of making his own rational decisions, the power of attorney directive for health care comes into force and authorizes the assigned agent to act on behalf of the principal in terms of taking responsibility for the principal’s health care decisions as stationed in the document.
To initiate a Durable Health Care Power of Attorney, one must be a competent adult of eighteen years of age and older. The process of creating and validating the medical power of attorney form must be fully voluntary. No other person can have it filled out and signed for the principal or make the principal create such a document against their own will.
Ohio power of attorney templates – read more about powers of attorney for different things in the State of Ohio.
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The Durable Healthcare Power of Attorney may authorize the attorney right after the form is signed or at any time after; the principal may or may not be incapacitated of making informed healthcare decisions or obtaining information on the principal’s health.
The Durable HPA may also authorize the agent to have the right to give or refusing to give informed consent or to withdraw informed consent to any healthcare that the principal may be offered.
There are two conditions that a power of attorney must satisfy to be validated:
The legal terms below are defined according to §1337 of the state of Ohio Revised Code:
| Document Name | Ohio Medical Power of Attorney Form |
| State Form Name | Ohio Health Care Power of Attorney |
| State Laws | Ohio Revised Code, Sections 1337.11 to 1337.17 |
| Signing Requirements | Notary Public OR Two Witnesses |
| Who Can’t Be the Agent? | Section 1337.12(A)(2) |
| Who Can’t Be the Witness? | Section 1337.12(B) |
| Avg. Time to Fill Out | 8 minutes |
| # of Fillable Fields | 21 |
| Available Formats | Adobe PDF |
Popular Local Medical POA Forms
Health care power of attorney forms are used in every state. Have a look at other samples of Medical POA forms regularly filled out by people.
You can use our form building software to significantly simplify the process. If you want to complete the HPA form yourself and make it legit, make sure to follow the detailed instruction below:
Download the form for Ohio HP.
Write your full name and date of birth on the first page of the document.
Write the full name of your attorney-in-fact (agent) and your relationship. Submit your agent’s address and a telephone number. According to the state of Ohio law, your agent must be a competent adult person of 18 years of age or older.
Authorize your lawful representative to obtain your health information by adding your initials or another mark in the box below the agent’s personal information section.
Name your alternate representative by submitting the alternate agent’s personal data: full name and your relationship, address, and telephone number. Keep in mind that you may choose up to two alternate agents. An alternate agent(s) section is a safety measure for cases when your primary agent is not ready, capable, or willing to perform the duties listed in the document.
Grant your agent full authority within the listed duties to provide you with health care under the circumstances stationed by the document. Put your initials or another mark in the box below the “Authority of Agent” section.
If you have any additional instructions or limitations for your agent(s), make sure to write them in the responsive box. If you don’t have any, just write, “None.”
You may also choose a guardian for yourself or your property. A guardian is an adult person that may take care of you or your property if there is a need to. Usually, guardians are appointed by the court, but you can choose them yourself and list them in the special section of HPA. Guardians only take care of you in terms of day-to-day routine (food, clothing, living conditions, etc.). Your health care is still regulated by the HPA and your attorney-in-fact that you authorize with the said document.
To choose your guardian, insert the guardian’s full name and your relationship, address, and telephone number. You are able to assign two guardians.
The HPA also allows you to assign your agent or alternate agent(s) as your guardians. To do this, put your initials in the box below the “Nomination of Guardian” section.
Check all the information you’ve given and then proceed with the signing of the document. Put your signature and insert the date.
To witness the document, you will need two adult witnesses who shall put their signatures next to their printed names in the “Witnesses” section. You primary and alternate agents, your guardians, youк blood relatives or anyone related to you by marriage or adoption, your physician, or the manager of a nursing home where you might be receiving care CANNOT be your witnesses.
To make notary acknowledgment for the document, you will need to have it proved legit by a notary public.
Other Medical POA Forms by State
