ADVANCE DIRECTIVES
If you are not in a hospital when an emergency occurs, the emergency medical personnel or the hospital where you are sent likely would not have a physician’s order to implement your directives. For situations outside of a hospital, the Out of Hospital Do Not Resuscitate Declaration and Order is used to state your wishes. The Out of Hospital ...
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www.azag.govinforms emergency medical technicians (EMTs) or first responders not to resuscitate you. Sometimes this is called a DNR – Do Not Resuscitate. Please note this is valid prior to going to a hospital, if admitted to a hospital they may require you to fill out another form for their hospital.
Do Not Resuscitate (DNR) Form
www.mysurgerywebsite.co.ukemergency medical care by health care professionals prior to my death. I give permission for this information to be available to local hospitals, out of hours and emergency services or other healthcare professionals as necessary to implement this directive. I hereby agree to the ‘Do Not Resuscitate’ (DNR) order.