Postal Code 36

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Postal Code 36

Postal Code 36

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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Postal Code 36Print 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. Trump Ally Steve Bannon Ordered To Pay Unpaid Legal Bills 108047790 1728997495505 gettyimages 2177754388 AFP 36K49PA jpeg v

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 51c1cf Hex Color Palette

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 108037380 1726861394799 gettyimages 2172438218 AFP 36GT8NE jpeg v 108027647 1725019016827 gettyimages 2168360029 AFP 36F43JF jpeg v