OHIO Advance Directive Planning for Important Health Care ...

OHIO DURABLE POWER OF ATTORNEY FOR HEALTH CARE – PAGE 1 OF 18. PRINT YOUR NAME AND BIRTH DATE . State of Ohio. Health Care Power of Attorney. Of (Print Full Name) (Birth Date) This is my Health Care Power of Attorney. I revoke all prior Health Care . Powers of Attorney signed by me. I understand the nature and purpose . of this document. ................
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