Advance Directives:

Living Will and Health Care Power of Attorney

In December 2013, Governor Kasich signed House Bill 126 into law to implement changes concerning the Healthcare Power of Attorney (HCPOA) as well as to allow an individual to appoint a guardian under certain situations. Due to statutory requirements there was a need to update the HCPOA form and living will.

Update March 2015: The new advance directive forms are now finalized and can be accessed using the links below.

  • State of Ohio Health Care Power of Attorney Form (2015 pdf version)
    • The Health Care Power of Attorney is a document that names an individual to make healthcare decisions for the person drafting the document.  The updates to this document include the agent being able to obtain protected health information immediately for the individual drafting the document.  It also allows an individual to nominate a guardian of person and guardian of estate.
  • State of Ohio Living Will Form (2015 pdf version)
    • The Living Will is an advance directive that is upheld only if a person is terminally ill or permanently unconscience.  The new document now has an area to designate additional instructions or limitations to healthcare providers.  It also designates donation of an anatomical gift.
  • State of Ohio Donor Registry Form (2015 pdf version)
    • The purpose of the Donor Registry Enrollment Form is to document your wish to donate organs, tissues and/or corneas at the time of your death.   This form should be completed only if you have NOT already registered as a donor with the Ohio Bureau of Motor Vehicles (BMV).


Midwest Care Alliance has begun the process to produce what will become the Choices: Living Well at the End of Life- Sixth Edition. The 6th edition will include the new advance directives documents and include vital information to explain the difference between the documents, definitions and FAQs. 

 Download Choices: Living Well at the End of Life (6th edition pdf)




The decisions a person makes regarding their healthcare and treatment preferences at the end of life are extremely important. While living wills and advance directives are vital, the conversations around these decisions and choices are also crucial. We recommend completing these forms and viewing the Living Will and Health Care Power of Attorney documents as tools for having meaningful advance care planning conversations with your physician and family members.

Conversations That Light the Way is a workbook designed to assist you in making choices about the kind of healthcare you want as you journey through the final phases of life. Although this subject can be uncomfortable for many people to address, it is important that each person has the opportunity to make these important choices for themselves.

To purchase the complete advance directive booklet, Choices: Living Well at the End of Life, and companion guide, Conversations That Light the Way, please download and print the order forms below:

NOTE: The 6th edition of the Choices booklet is not yet available for order.  Only pdf download of the booklet is currently available. (April 2015)

For a printable copy of the complete advance directive booklet and companion guide: