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EMERGENCY MEDICAL SERVICES PREHOSPITAL DO NOT …

The Prehospital Do Not Resuscitate (DNR) Form must be signed by the patient or by the patient’s legally recognized health care ... Pink Copy: If authorized DNR medallion desired, submit this form with Medic Alert enrollment form to: Medic Alert Foundation, Turlock, CA 95381 .

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  Services, Medical, Resuscitate, Emergency, Submit, Prehospital, Emergency medical services prehospital do not, Prehospital do not resuscitate

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