Amsoil European 0w 20

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Amsoil European 0w 20

Amsoil European 0w 20

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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Amsoil European 0w 20Print 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. AMSOIL Canada 0W 20 Synthetic Motor Oil AMSOIL SAE 0W 20 LS Synthetic European Motor Oil AP1shop AMSOIL

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 AMSOIL Synthetic OE Sythetic SAE 0W 20 API SN ILSAC GF 5 dexos1

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 AMSOIL EUROPEAN 5W40 1L Vlessidis Amsoil European Full SAPS 0W 40 Engine Oil