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Pneu Vtt 27 5 X 2 10
Pneu Vtt 27 5 X 2 10
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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Pneu Vtt 27 5 X 2 10Print 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. PNEU VTT 27 5 X 2 00 HUTCHINSON ROCK 2 NOIR TR 50 584 650B PNEU VTT 27 5 X 2 20 CONTINENTAL CROSS KING NOIR TR 55 584 650B P2R
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 PNEU VTT 27 5 X 2 25 DELI TS 57 584 650B 3700948096727 P2R
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 PNEU VTT 26 X 2 10 MICHELIN COUNTRY GRIP R NOIR TR 54 559 PNEU VTT 27 5 X 2 80 MICHELIN FORCE AM PERFORMANCE TUBELESS READY TS
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PNEU VTT 27 5 X 2 25 DELI TS 57 584 650B 3700948096727 P2R
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