6 Ft 6 Weight

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6 Ft 6 Weight

6 Ft 6 Weight

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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6 Ft 6 WeightPrint 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. 45 Years Old 6 Foot 1 Inch 193 Pounds 5 6 Body Fat Update 107396149 1712155938171 6T8A8015 jpg v 1712156010 w 1920 h 1080

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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 Oppenheimer Steamrolls Toward Oscars With Screen Actors Guild Award Wins

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 New York AG Letitia James Leads State Effort Defending CFPB 107392408 17113918872024 03 25t183047z 549649935 rc26t6a8ks02 rtrmadp 0