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Durable Do Not Resuscitate

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Authorized Durable Do Not Resuscitate Order Form ...

www.vdh.virginia.gov

The Durable Do Not Resuscitate (DDNR) Order and its regulations have been developed to carry out the intent of applicable Virginia law that provides a person the opportunity to execute a DDNR Order that comports with his/her wishes. Applicability

  Order, Resuscitate, Authorized, Durable, Authorized durable do not resuscitate order, Durable do not resuscitate

CPR/AED for Professional Rescuers and Health Care Providers

www.redcross.org

c Do Not Resuscitate (DNR) orders (also called Do Not Attempt Resuscitation [DNAR] orders). c Living wills. c Durable powers of attorney. Battery: The unlawful, harmful or offensive touching of a person without the person’s consent. Abandonment: Discontinuing care once it …

  Resuscitate, Do not, Do not resuscitate, Durable

State of Florida DO NOT RESUSCITATE ORDER

www.floridahealth.gov

DO NOT RESUSCITATE ORDER (please use ink) Patient’s Full Legal Name: Date: (Print or Type Name) PATIENT’S STATEMENT Based upon informed consent, I, the undersigned, hereby direct that CPR be withheld or withdrawn. (If not signed by patient, check applicable box): Surrogate Proxy (both as defined in Chapter 765, F.S.)

  Resuscitate, Do not resuscitate

Combined Living Will & Health Care Power of Attorney

www.guthrie.org

5. To take any legal action necessary to do what I have directed. 6. To request that a physician responsible for my care issue a do-not-resuscitate (DNR) order, including an out-of-hospital DNR order, and sign any required documents and consents. Appointment of Health Care Agent I appoint the following health care agent:

  Resuscitate

FORMS FOR GUARDIANSHIP OF AN INCAPACITATED …

www.miottawa.org

Do Not Resuscitate Order If the adult is an inpatient at a hospital, his or her wishes regarding resuscitation should be discussed with his or her physician as soon as possible. If the adult is not in a hospital, he or she can sign a document that will refuse CPR (car-diopulmonary resuscitation). This document

  Resuscitate, Do not resuscitate

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