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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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338Print 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. 21st Tec Bellator 338 Lapua Magnum Magpul PRS Bolt Action Rifle 24 Christensen Arms MPR 338 Lapua Magnum Bolt Action Rifle 27 Carbon
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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 338 Lapua Vs 308 Ammo Full Comparison True Shot Ammo
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 Alexander Arms Ulfberht 338 Lapua Magnum Rifle With Scope Rock 33 Nosler Vs 338 Lapua Magnum Caliber Comparison Nifty Outdoorsman
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