25 X 8 X 5 X 4

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25 X 8 X 5 X 4

25 X 8 X 5 X 4

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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25 X 8 X 5 X 4Print 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. SOPHNET X Wild Style Naijel Graphic T Shirt Black FW22 CN 07709064 XM 090604 G WL 7035 Bopla Euromas X Series Light Grey

Doh 3474 pdf New York State Department of Health

SS And MS Body Perfect Digital Hanging Weighing Machine Size 10 X 5

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 HALBERD All Terrain ATV UTV Tires 25x8 12 Front 25x10 12 Rear 6 PR

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 Panier Pour Faire Pousser Du Pain Ovale 28 X 15 Cm Kesper Kesper Rectangular Aac Block 24 In X 8 In X 8 In At Rs 80 piece In New Delhi