if thats the actual code you may be lucky
2133.07 Using pre-printed form.
(A) A printed form of a declaration may be sold or otherwise distributed in this state for use by adults who are not advised by an attorney. By use of a printed form of that nature, a declarant may authorize the use or continuation, or the withholding or withdrawal, of life-sustaining treatment should the declarant be in a terminal condition, a permanently unconscious state, or either a terminal condition or a permanently unconscious state, may authorize the withholding or withdrawal of nutrition or hydration should the declarant be in a permanently unconscious state as described in division (A)(3)(a) of section 2133.02 of the Revised Code, and may designate one or more persons who are to be notified by the declarant’s attending physician at any time that life-sustaining treatment would be withheld or withdrawn pursuant to the declaration. The printed form shall not be used as an instrument for granting any other type of authority or for making any other type of designation, except that the printed form may be used as a DNR identification if the declarant specifies on the form that the declarant wishes to use it as a DNR identification and except as provided in division (B) of this section.
(B) A printed form of a declaration under division (A) of this section shall include, before the signature of the declarant or another individual at the direction of the declarant, statements that conform substantially to the following form:
“ANATOMICAL GIFT (optional)
Upon my death, the following are my directions regarding donation of all or part of my body:
In the hope that I may help others upon my death, I hereby give the following body parts:
.............................................................................
.............................................................................
for any purpose authorized by law: transplantation, therapy, research, or education.
If I do not indicate a desire to donate all or part of my body by filling in the lines above, no presumption is created about my desire to make or refuse to make an anatomical gift.”
©(1) A printed form of a declaration under division (A) of this section shall include, as a separate page or as a portion of a page that can be detached from the declaration, a donor registry enrollment form that permits the donor to be included in the donor registry created under section 2108.18 of the Revised Code.
(2) The donor registry enrollment form shall conform substantially to the following form:
“DONOR REGISTRY ENROLLMENT FORM (optional)
To register for the Donor Registry, please complete this form and send it to the Ohio Bureau of Motor Vehicles. This form must be signed by two witnesses. If the donor is under age eighteen, one witness must be the donor’s parent or legal guardian.
... Please include me in the donor registry.
... Please remove me from the donor registry.