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11 X 3300

11 X 3300
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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11 X 3300Print 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. 108027214 1724947248039 gettyimages 2155358408 TAIWAN COMPUTEX jpeg v KROHNE WATERFLUX 3300
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 107145163 1667424326721 2018 10 11T171742Z 995513496 RC129C2DB010
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 3300 GTO Aerographic Spray Guns Gravity Spray Guns Industry 3300 TE Fashion

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User Manual IBM System X 3300 M4 English 27 Pages

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107145163 1667424326721 2018 10 11T171742Z 995513496 RC129C2DB010

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