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Search results with tag "Of florida do not resuscitate order"

State of Florida DO NOT RESUSCITATE ORDER

www.floridahealth.gov

State of Florida 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 Based upon informed consent, I, the undersigned, hereby direct that CPR be withheld or withdrawn.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

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State of Florida DO NOT RESUSCITATE ORDER

www.coastalhealth.org

State of Florida DO NOT RESUSCITATE ORDER (please use ink) Patient’s Full Legal Name: _____Date:_____ (Print or Type Name)

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