Declaration for Mental Health Treatment Form Assistant

No ofrecemos una versión en español de este formulario en Ohio Legal Help.

You can create a legal document to state what kind of mental health treatment you would want in the future. Learn about a Declaration for Mental Health Treatment in Ohio.

After you have completed the interview, you can follow the instructions for completing the declaration. A Declaration for Mental Health Treatment must be signed in front of either two special witnesses or one notary public to be valid.

If you choose witnesses, your witnesses must be adults who know you personally but are:

• Not your family (by blood, marriage or adoption)
• Not your proxy
• Not your doctor or mental health treatment provider
• Not an owner or employee of your treatment provider

If you choose a notary, you can search online for “notaries near me” to find a notary. The notary must verify your identity. You can bring an official photo ID, like a driver’s license or state-issued ID card to show your identity.

It is helpful to give a copy of your Declaration for Mental Health Treatment to your proxy, your doctor and the hospital you are likely to be admitted to. It is also helpful to share with your loved ones that you have a Declaration for Mental Health Treatment. That way, they know your preferences in case of an emergency.