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20 10 Method
20 10 Method
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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20 10 MethodPrint 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. 107319405 16976487772023 10 18t155931z 1163247185 rc2yu3a3fj6s rtrmadp Animal Print Effect Flap Bag Women Mango USA
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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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