Do Not Resuscitate
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Kentucky Emergency Medical Services Do Not Resuscitate ...
manuals.sp.chfs.ky.govKENTUCKY EMERGENCY MEDICAL SERVICES DO NOT RESUSCITATE (DNR) ORDER INSTRUCTIONS PURPOSE Thi s standardized EMS DNR Order has been developed and approved by the Kentucky Board of Medical Licensure, i n
THE NEW PORTABLE DO NOT RESUSCITATE ORDER
www.anha.org28878799 v1. THE NEW PORTABLE DO NOT RESUSCITATE ORDER . The Natural Death Act, Ala. Code 22-8A-1 et seq., contains the provisions on how an individual may plan for end- of-life decisions.
State of Florida DO NOT RESUSCITATE ORDER
www.coastalhealth.orgState of Florida DO NOT RESUSCITATE ORDER (please use ink) Patient’s Full Legal Name: _____Date:_____ (Print or Type Name)
Vermont Advance Directives Instructions for Clinicians ...
vtethicsnetwork.orginstructions for clinicians completing vermont dnr/colst form (do not resuscitate order/clinician orders for life sustaining treatment) completing dnr/colst
State of Florida DO NOT RESUSCITATE ORDER
www.floridahealth.govI, the undersigned, a physician licensed pursuant to Chapter 458 or 459, F.S., am the physician of the patient named above. I hereby direct the withholding or withdrawing of cardiopulmonary resuscitation (artificial ventilation, cardiac
STATE OF TENNESSEE EMERGENCY MEDICAL SERVICES DO …
www.selegal.orgph-3338 (rev. 7-96) rda n/a cpr state of tennessee emergency medical services do not resuscitate (dnr) order patient’s full name attending physician’s statement
Do Not Resuscitate Confirmation Form - Ontario
www.forms.ssb.gov.on.caMinistry of Health and Long-Term Care. Office of the Fire Marshal . Serial Number : Do Not Resuscitate Confirmation Form . To Direct the Practice of Paramedics and Firefighters after February 1, 2008
OKLAHOMA DO-NOT-RESUSCITATE (DNR) CONSENT FORM
www.hospiceofgreencountry.orgI, , request limited health care as described in this document. If my heart stops beating or if I stop breathing,
Oklahoma Do-No-Resusucitate (DNR) Consent Form
www.okdhs.orgOKLAHOMADONOTRESUSCITATE (DNR) CONSENT FORM I,, request limited health care as described in this document. If my heart stops beating or if I stop breathing, no
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