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Ct Zip Codes Alphabetical Order Map
Ct Zip Codes Alphabetical Order Map
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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Ct Zip Codes Alphabetical Order MapPrint 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. List Of All State Abbreviations Connecticut Zip Code Maps Free Connecticut Zip Code Maps
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 Connecticut Zip Codes Map
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 Fairfield Zip Code Ct Www inf inet Mapa De Los Nombres Nativos De Estados Unidos Junte se Emo o Do
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Connecticut Zip Codes Map
Connecticut Zip Codes Map
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