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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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Vs Code Marketplace ApiPrint 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. 107417246 1716214624819 gettyimages 2150291284 INDONESIA MICROSOFT jpeg New Fund Bets Big On Eisenhower era Stocks
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 108087043 1736959066660 gettyimages 2193465860 AFP 36U39EX jpeg v
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 107343936 1701876968812 gettyimages 1835247155 wm 10483 b9aioaxv jpeg v 108018112 1723134186096 gettyimages 2161841993 JAQUESILVA 16072024 4686

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