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10 Percent Of 250k
10 Percent Of 250k
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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10 Percent Of 250kPrint 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. 108043622 17280677422024 10 04t183003z 910478354 rc2udaanw3mc rtrmadp 0 107319405 16976487772023 10 18t155931z 1163247185 rc2yu3a3fj6s rtrmadp
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 Trump Fraud Trial Ex president Fined For Violating Gag Order
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 107061738 16527197252022 05 10t161412z 669005569 rc2e4u9gslnf rtrmadp 0 106754540 16032924952020 10 21t145641z 1601193503 rc22nj9nzeyc rtrmadp

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