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Certain documents, including wills, codicils, testamentary trusts, divorce and adoption papers, some court orders, and notarized contracts, cannot typically be signed electronically.

Electronic signatures hold up in court since they are legal signatures. The Electronic Signatures in Global and National Commerce Act, otherwise known as the E-Sign Act, states that electronic signatures shouldn't be considered invalid simply because they're electronic.

Administrative Rule 1-1-01 was adopted following the enactment of the Uniform Electronic Transaction Act (UETA). UETA establishes the legal equivalence of electronic records and electronic signatures with paper documents and manual signatures.

Whether through a federal act or a state-level act, electronic signatures are generally valid in all states. The rule has some exceptions, such as the signed document type.

Electronic signatures are valid under both Ohio and federal law. At the state level, Ohio adopted the Uniform Electronic Transactions Act (“UETA”) in 2000, as part of Chapter 1306 of the Ohio Revised Code.

An attorney notary public, who is a legal resident of Ohio, may apply to be authorized to perform online notarizations and that authorization will expire five years from the date issued.

(7) Electronic signatures – a code consisting of a combination of letters, numbers, characters, or symbols that is adopted or executed by an individual as that individual's electronic signature; a computer-generated signature code created for an individual; or an electronic image of an individual's handwritten ...

A written request signed by the patient or by what the law refers to, as a "personal representative or authorized person" is required. Ohio Revised Code §3701.74 obligates a physician to permit a patient or a patient's representative to examine a copy of all of the medical record.

Authentication of medical record entries may include written signatures, initials, computer key, or other code. For authentication, in written or electronic form, a method must be established to identify the author.