8 1 2 X 13 Bond Paper

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8 1 2 X 13 Bond Paper

8 1 2 X 13 Bond Paper

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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8 1 2 X 13 Bond PaperPrint 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. Hard Copy Bond Paper Short A4 long Sub 20 70gsm 500sheets Shopee 8834 Copa Negra Larga 1 2x13 16 IO Company Importadores Orientales

Doh 3474 pdf New York State Department of Health

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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 Printable Ruled Paper A4

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 Hard Copy Bond Paper Ream SticTac Digital Printing Media Products How Do I Change The Color Of Objects In Autocad Printable Online