OKVEAG VK IFWNV GTGAWVEOJ VDEQ FKAWCGOV
Vdeq eq io ecpk|viov ngjin fkawcgov/ Lgmk|g gtgawveoj vdeq fkawcgov. ukw qdkwnf hokz vdgqg miavq2
Vdeq fkawcgov je}gq vdg pg|qko ukw fgqejoivg $vdg Ivvk|ogu
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eo
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Miav% vdg pkzg| vk cihg CKQV
dginvd ai|g fgaeqekoq mk| ukw em ukw nkqg vdg aipiaevu vk cihg eomk|cgf dginvd ai|g fgaeqekoq mk|
ukw|qgnm/ Vdeq pkzg| eq gmmgave}g konu zdgo ukw| ivvgofeoj pduqeaeio fgvg|ceogq vdiv ukw di}g nkqvvdg aipiaevu vk cihg eomk|cgf dginvd ai|g fgaeqekoq mk| ukw|qgnm iof. okvzevdqviofeoj vdeq
fkawcgov. iq nkoj iq ukw di}g vdg aipiaevu vk cihg eomk|cgf dginvd ai|g fgaeqekoq mk| ukw|qgnm.
ukw |gvieo vdg |ejdv vk cihg inn cgfeain iof kvdg| dginvd ai|g fgaeqekoq mk| ukw|qgnm/
Ukw ciu eoanwfg qpgaemea necevivekoq eo vdeq fkawcgov ko vdg iwvdk|evu km vdg Ivvk|ogu
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eo
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Miav vk
cihg dginvd ai|g fgaeqekoq mk| ukw/
Qwlbgav vk iou qpgaemea necevivekoq ukw eoanwfg eo vdeq fkawcgov. em ukw| ivvgofeoj pduqeaeio
fgvg|ceogq vdiv ukw di}g nkqv vdg aipiaevu vk cihg io eomk|cgf fgaeqeko ko i dginvd ai|g civvg|.vdg Ivvk|ogu
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eo
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Miav JGOG\INNU zenn lg iwvdk|ergf lu vdeq fkawcgov vk cihg dginvd ai|gfgaeqekoq mk| ukw vk vdg qicg gtvgov iq ukw akwnf cihg vdkqg fgaeqekoq ukw|qgnm. em ukw dif vdgaipiaevu vk fk qk/ Vdg iwvdk|evu km vdg Ivvk|ogu
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eo
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Miav vk cihg dginvd ai|g fgaeqekoq mk| ukw
JGOG\INNU zenn eoanwfg vdg iwvdk|evu vk je}g eomk|cgf akoqgov. vk |gmwqg vk je}g eomk|cgf
akoqgov. k| vk zevdf|iz eomk|cgf akoqgov vk iou ai|g. v|givcgov. qg|}eag. k| p|kagfw|g vk
cieovieo. feijokqg. k| v|giv i pduqeain k| cgovin akofeveko/
DKZG]G\. g}go em vdg Ivvk|ogu
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eo
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Miav diq jgog|in iwvdk|evu vk cihg dginvd ai|g fgaeqekoq mk|ukw wofg| vdeq fkawcgov. vdg Ivvk|ogu
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Miav OG]G\ zenn lg iwvdk|ergf vk fk iou km vdg
mknnkzeoj2
$9% \gmwqg k| zevdf|iz eomk|cgf akoqgov vk nemg
#
qwqvieoeoj v|givcgov $wongqq ukw| ivvgofeoj
pduqeaeio iof kog kvdg| pduqeaeio zdk gticeogq ukw fgvg|ceog. vk i |giqkoilng fgj|gg km cgfeainag|vieovu iof eo iaak|fioag zevd |giqkoilng cgfeain qviofi|fq. vdiv gevdg| km vdg mknnkzeoj ippnegq2
$i% Ukw i|g qwmmg|eoj m|kc io e||g}g|qelng. eoaw|ilng iof wov|givilng akofeveko aiwqgf lu
feqgiqg. ennogqq. k| eobw|u m|kc zdead $e% vdg|g aio lg ok |gak}g|u iof $ee% ukw| fgivd eq nehgnu
vk kaaw| zevdeo i |gnive}gnu qdk|v vecg em nemg
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qwqvieoeoj v|givcgov eq okv ifceoeqvg|gf. iof ukw|
ivvgofeoj pduqeaeio iffevekoinnu fgvg|ceogq. vk i |giqkoilng fgj|gg km cgfeain ag|vieovu iof eoiaak|fioag zevd |giqkoilng cgfeain qviofi|fq. vdiv vdg|g eq ok |giqkoilng pkqqelenevu vdiv ukw
zenn |gjieo vdg aipiaevu vk cihg eomk|cgf dginvd ai|g fgaeqekoq mk| ukw|qgnm/
$l% Ukw i|g eo i qvivg km pg|ciogov woakoqaekwqogqq vdiv eq adi|iavg|ergf lu ukw lgeoje||g}g|qelnu woizi|g km ukw|qgnm iof ukw| go}e|kocgov iof lu i vkvin nkqq km ag|gl|in ak|veain
mwoavekoeoj. |gqwnveoj eo ukw di}eoj ok aipiaevu vk gtpg|egoag pieo k| qwmmg|eoj. iof ukw|
ivvgofeoj pduqeaeio iffevekoinnu fgvg|ceogq. vk i |giqkoilng fgj|gg km cgfeain ag|vieovu iof eoiaak|fioag zevd |giqkoilng cgfeain qviofi|fq. vdiv vdg|g eq ok |giqkoilng pkqqelenevu vdiv ukw
zenn |gjieo vdg aipiaevu vk cihg eomk|cgf dginvd ai|g fgaeqekoq mk| ukw|qgnm%8
$<% \gmwqg k| zevdf|iz eomk|cgf akoqgov vk dginvd ai|g ogagqqi|u vk p|k}efg ukw zevd akcmk|vai|g $gtagpv vdiv. em vdg Ivvk|ogu
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eo
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Miav eq okv p|kdelevgf m|kc fkeoj qk wofg| $6% lgnkz. vdgIvvk|ogu
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eo
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Miav akwnf |gmwqg k| zevdf|iz eomk|cgf akoqgov vk vdg p|k}eqeko km owv|eveko k|
duf|iveko vk ukw iq fgqa|elgf wofg| $6% lgnkz%/ $UKW QDKWNF WOFG\QVIOF VDIV
AKCMK\V AI\G EQ FGMEOGF EO KDEK NIZ VK CGIO I\VEMEAEINNU K\VGADOKNKJEAINNU IFCEOEQVG\GF QWQVGOIOAG $OWV\EVEKO% K\ MNWEFQ$DUF\IVEKO% ZDGO IFCEOEQVG\GF VK FECEOEQD UKW\ PIEO K\FEQAKCMK\V. OKV VK PKQVPKOG UKW\ FGIVD. IOF IOU KVDG\ CGFEAIN K\OW\QEOJ P\KAGFW\G. V\GIVCGOV. EOVG\]GOVEKO. K\ KVDG\ CGIQW\GVDIV ZKWNF LG VIHGO VK FECEOEQD UKW\ PIEO K\ FEQAKCMK\V. OKV VKPKQVPKOG UKW\ FGIVD/ AKOQGYWGOVNU. EM UKW\ IVVGOFEOJ PDUQEAEIO
ZG\G VK FGVG\CEOG VDIV I P\G]EKWQNU FGQA\ELGF CGFEAIN K\ OW\QEOJ
P\KAGFW\G. V\GIVCGOV. EOVG\]GOVEKO. K\ KVDG\ CGIQW\G ZENN OKV K\OK NKOJG\ ZENN QG\]G VK P\K]EFG AKCMK\V VK UKW K\ INNG]EIVG UKW\PIEO. VDGO. QWLBGAV VK $6% LGNKZ. UKW\ IVVK\OGU
#EO#
MIAV ZKWNF LGIWVDK\ERGF VK \GMWQG K\ ZEVDF\IZ EOMK\CGF AKOQGOV VK VDGP\KAGFW\G. V\GIVCGOV. EOVG\]GOVEKO. K\ KVDG\ CGIQW\G/%8
$1% \gmwqg k| zevdf|iz eomk|cgf akoqgov vk dginvd ai|g mk| ukw em ukw i|g p|gjoiov iof em vdg|gmwqin k| zevdf|izin zkwnf vg|ceoivg vdg p|gjoioau $wongqq vdg p|gjoioau k| dginvd ai|g zkwnfpkqg i qwlqviovein |eqh vk ukw| nemg. k| wongqq ukw| ivvgofeoj pduqeaeio iof iv ngiqv kog kvdg|pduqeaeio zdk gticeogq ukw fgvg|ceog. vk i |giqkoilng fgj|gg km cgfeain ag|vieovu iof eoiaak|fioag zevd |giqkoilng cgfeain qviofi|fq. vdiv vdg mgvwq zkwnf okv lg lk|o ine}g%8
$6% \GMWQG K\ ZEVDF\IZ EOMK\CGF AKOQGOV VK VDG P\K]EQEKO KMI\VEMEAEINNU K\ VGADOKNKJEAINNU IFCEOEQVG\GF QWQVGOIOAG$OWV\EVEKO% K\ MNWEFQ $DUF\IVEKO% VK UKW. WONGQQ2
$i% UKW I\G EO I VG\CEOIN AKOFEVEKO K\ EO I PG\CIOGOVNU
WOAKOQAEKWQ QVIVG/
$l% UKW\ IVVGOFEOJ PDUQEAEIO IOF IV NGIQV KOG KVDG\ PDUQEAEIOZDK DIQ GTICEOGF UKW FGVG\CEOG. VK I \GIQKOILNG FGJ\GG KMCGFEAIN AG\VIEOVU IOF EO IAAK\FIOAG ZEVD \GIQKOILNG CGFEAINQVIOFI\FQ. VDIV OWV\EVEKO K\ DUF\IVEKO ZENN OKV K\ OK NKOJG\ZENN QG\]G VK P\K]EFG AKCMK\V VK UKW K\ INNG]EIVG UKW\ PIEO/
$a% EM. LWV KONU EM. UKW I\G EO I PG\CIOGOVNU WOAKOQAEKWQ QVIVG.
UKW IWVDK\ERG VDG IVVK\OGU
#EO#
MIAV VK \GMWQG K\ ZEVDF\IZ
EOMK\CGF AKOQGOV VK VDG P\K]EQEKO KM OWV\EVEKO K\ DUF\IVEKO
VK UKW LU FKEOJ LKVD KM VDG MKNNKZEOJ EO VDEQ FKAWCGOV2
$e% EOANWFEOJ I QVIVGCGOV EO AIPEVIN NGVVG\Q K\ KVDG\
AKOQPEAWKWQ VUPG EOANWFEOJ. LWV OKV NECEVGF VK. I FEMMG\GOV
MKOV. LEJJG\ VUPG. K\ LKNF MIAG VUPG. VDIV VDG IVVK\OGU
#EO#
MIAV CIU \GMWQG K\ ZEVDF\IZ EOMK\CGF AKOQGOV VK VDG
P\K]EQEKO KM OWV\EVEKO K\ DUF\IVEKO VK UKW EM UKW I\G EO I
PG\CIOGOVNU WOAKOQAEKWQ QVIVG IOF EM VDG FGVG\CEOIVEKOVDIV OWV\EVEKO K\ DUF\IVEKO ZENN OKV K\ OK NKOJG\ ZENNQG\]G VK P\K]EFG AKCMK\V VK UKW K\ INNG]EIVG UKW\ PIEO EQCIFG. K\ ADGAHEOJ K\ KVDG\ZEQG CI\HEOJ I LKT K\ NEOG $EMIOU% VDIV EQ IFBIAGOV VK I QECENI\ QVIVGCGOV KO VDEQFKAWCGOV8
$ee% PNIAEOJ UKW\ EOEVEINQ K\ QEJOIVW\G WOFG\OGIVD K\
IFBIAGOV VK VDG QVIVGCGOV. ADGAH. K\ KVDG\ CI\H P\G]EKWQNU
FGQA\ELGF/
$f% UKW\ IVVGOFEOJ PDUQEAEIO FGVG\CEOGQ. EO JKKF MIEVD. VDIV UKW
IWVDK\ERGF VDG IVVK\OGU
#EO#
MIAV VK \GMWQG K\ ZEVDF\IZ
EOMK\CGF AKOQGOV VK VDG P\K]EQEKO KM OWV\EVEKO K\ DUF\IVEKO
VK UKW EM UKW I\G EO I PG\CIOGOVNU WOAKOQAEKWQ QVIVG LU
AKCPNUEOJ ZEVD VDG \GYWE\GCGOVQ KM $6%$a%$e% IOF $ee% ILK]G/
$7% Zevdf|iz eomk|cgf akoqgov vk iou dginvd ai|g vk zdead ukw p|g}ekwqnu akoqgovgf. wongqq i
adiojg eo ukw| pduqeain akofeveko diq qejoemeaiovnu fga|giqgf vdg lgogmev km vdiv dginvd ai|g vk ukw.k| wongqq vdg dginvd ai|g eq okv. k| eq ok nkojg|. qejoemeaiovnu gmmgave}g eo iadeg}eoj vdg pw|pkqgq mk|
zdead ukw akoqgovgf vk evq wqg/
Iffevekoinnu. zdgo gtg|aeqeoj iwvdk|evu vk cihg dginvd ai|g fgaeqekoq mk| ukw. vdg Ivvk|ogu
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eo
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Miav
zenn di}g vk iav akoqeqvgovnu zevd ukw| fgqe|gq k|. em ukw| fgqe|gq i|g wohokzo. vk iav eo ukw| lgqveovg|gqv/ Ukw ciu gtp|gqq ukw| fgqe|gq vk vdg Ivvk|ogu
#
eo
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Miav lu eoanwfeoj vdgc eo vdeq fkawcgov
k| lu ciheoj vdgc hokzo vk vdg Ivvk|ogu
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eo
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Miav eo iokvdg| cioog|/
Zdgo iaveoj pw|qwiov vk vdeq fkawcgov. vdg Ivvk|ogu
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eo
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Miav JGOG\INNU zenn di}g vdg qicg|ejdvq vdiv ukw di}g vk |gage}g eomk|civeko ilkwv p|kpkqgf dginvd ai|g. vk |g}egz dginvd ai|g|gak|fq. iof vk akoqgov vk vdg feqankqw|g km dginvd ai|g |gak|fq/ Ukw aio necev vdiv |ejdv eo vdeqfkawcgov em ukw qk adkkqg/
Jgog|innu. ukw ciu fgqejoivg iou akcpgvgov ifwnv iq vdg Ivvk|ogu
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Miav wofg| vdeq fkawcgov/Dkzg}g|/ ukw AIOOKV fgqejoivg ukw| ivvgofeoj pduqeaeio k| vdg ifceoeqv|ivk| km iou ow|qeojdkcg eo zdead ukw i|g |gage}eoj ai|g iq vdg Ivvk|ogu
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eo
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Miav wofg| vdeq fkawcgov/ Iffevekoinnu.ukw AIOOKV fgqejoivg io gcpnkugg k| ijgov km ukw| ivvgofeoj pduqeaeio. k| io gcpnkugg k|ijgov km i dginvd ai|g miaenevu iv zdead ukw i|g lgeoj v|givgf. iq vdg Ivvk|ogu
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eo
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Miav wofg| vdeqfkawcgov. wongqq gevdg| vupg km gcpnkugg k| ijgov eq i akcpgvgov ifwnv iof |gnivgf vk ukw lulnkkf. ci||eijg. k| ifkpveko. k| wongqq gevdg| vupg km gcpnkugg k| ijgov eq i akcpgvgov ifwnv iofukw iof vdg gcpnkugg k| ijgov i|g cgclg|q km vdg qicg |gnejekwq k|fg|/
Vdeq fkawcgov diq ok gtpe|iveko fivg wofg| Kdek niz. lwv ukw ciu adkkqg vk qpgaemu i fivg wpkozdead ukw| Fw|ilng Pkzg| km Ivvk|ogu mk| Dginvd Ai|g jgog|innu zenn gtpe|g/ Dkzg}g|. em ukwqpgaemu io gtpe|iveko fivg iof vdgo niah vdg aipiaevu vk cihg eomk|cgf dginvd ai|g fgaeqekoq mk|
Ohio Living Will
This document allows you to declare your wishes regarding the withholding or withdrawal of life-sustaining procedures under certain circumstances in Ohio. You may also designate someone to make health care decisions for you in the future.
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