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3 X 3 5 22
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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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3 X 3 5 22Print 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. Guide Life Recommand Zanzibar Forum Zanzibar Forums Routard Led Junction Light At Rs 95 piece Khadia Ahmedabad ID 2851230883930
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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 Animation Nodes 3523 By UnCommonGrafx Released Scripts And Themes
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 Warm White 3 W Led Foot Light For Outdoor At Rs 255 piece In Ahmedabad G4 Led Bulb Warm White At Rs 35 piece In Ahmedabad ID 2851206783848
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