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911 Carrera 4 Gts
911 Carrera 4 Gts
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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911 Carrera 4 GtsPrint 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. Porsche 2017 911 Carrera GTS Coupe Worldwide 2560x1706 Porsche 911 Carrera T 2024 Picture 2 Of 24
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 Pre Owned 2015 Porsche 911 Carrera 4 GTS
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 2017 Porsche 911 Carrera 4 GTS Living With A Street And Track Star 2017 Porsche 911 Carrera 4 GTS Living With A Street And Track Star
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PORSCHE 911 Carrera 4 GTS Cabriolet 991 Specs Photos 2014 2015
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2017 Porsche 911 Carrera 4 GTS Living With A Street And Track Star
Pre Owned 2015 Porsche 911 Carrera 4 GTS
2014 Porsche 911 Carrera 4 GTS PDK Review
2017 Porsche 911 Carrera 4 GTS PDK Review Autocar