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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
1 5 1389Print 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. 107361098 1705590731767 1J7A1548 JPG v 1724441064 w 1920 h 1080 107421603 1717015816253 gettyimages 1233001935 ROMANIA DINES jpeg v
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 NATO Leader Says Trump Puts Allies At Risks By Saying Russia Can do
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 Tenis Vizzano 1389 107 Microsoft Names DeepMind Co founder Mustafa Suleyman As CEO Of AI Unit
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NATO Leader Says Trump Puts Allies At Risks By Saying Russia Can do
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