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Probate 26.3

Statement of Treatment

Ohio · Supreme Court of Ohio

This form is a Statement of Treatment that is used to show that someone agrees to provide certain care for another person. It asks for details about the treatment, the provider, and the expected time and cost of the care.

Open the official PDFfrom Supreme Court of Ohio

Where this fits in a case

General & info

Information / general use — not tied to one step of a case

This form is used in a probate court case when documentation is needed regarding involuntary treatment for alcohol and other drug abuse.

Either party may file.

Common questions

What is this form for?
This form is a Statement of Treatment that documents an agreement to provide care for someone. It is used in a probate court case.
Who fills out this form?
The form requires information from the person agreeing to provide treatment and the treatment provider itself.

Revision history

No changes recorded since we started tracking this form on October 10, 2026.

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