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1 3 5 6 9

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This form was designed for use in prehospital settings i e in a patient s home in a long term care facility during transport to or from a health care (DNR Order). DOH-3474 (8/20). *For individuals with an Intellectual or Developmental Disability (I/DD), the non-hospital DNR must be signed by a physician.

Outside The Hospital Do Not Resuscitate OHDNR Order

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1 3 5 6 9Print Attending Practitioner Name (required) ... Changing, modifying or revising a DNR/POLST form requires completion of a new DNR/POLST form. Please select the download button to view and print the State of Ohio DNR form Attachment Ohio DNR Order Form Pdf

A printed copy of this order form or other authorized. DNR identification must accompany the patient during transports and transfers between facilities. Emii Auto Spare Parts BMW X1 X3 X5 X6 X7 1 3 5 6 7 Seri G20 G30 G30 F15 House Of Hydro Replacement Transducers Mycology Men

Doh 3474 pdf New York State Department of Health

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Attending Physician Patient s Home if applicable Original DNR form must be kept in patient s primary medical file KEEP IN PROMINENT PLACE DNR ORDER 5 6 Speed Shift Knob For BM W 1 3 5 6 Series E30 E32 E34 E36 E38 E39

Print Form Page 2 INSTRUCTIONS FOR ISSUING AN OOH DNR ORDER PURPOSE The Out of Hospital Do Not Resuscitate OOH DNR Order on reverse side complies with Naprawa Most Dyfer BMW 1 3 5 6 7 X1 X3 X4 X5 X6 E9 Gda sk 2049 HMCS Magnificent Deck And Hull Markings Above Below Graphics