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16 9 Dimensions

16 9 Dimensions

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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16 9 DimensionsPrint 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. 107434795 17195770642024 06 28t033644z 1463013331 rc21k8aa9r6x rtrmadp FBI Is extremely Concerned About China s Influence Through TikTok

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 Speaker Kevin McCarthy Won t Push GOP Rep George Santos To Resign

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 107224199 16813254022023 04 12t183402z 46065437 rc23tz9wx0ct rtrmadp 0 107061738 16527197252022 05 10t161412z 669005569 rc2e4u9gslnf rtrmadp 0