Get the free Revocation of Cardiopulmonary Resuscitation Directive

This document serves as a written revocation of a previously executed Cardiopulmonary Resuscitation Directive, allowing the Declarant to officially revoke their directive under Wyoming Statutes 35-22-207.

How to fill out revocation of cardiopulmonary resuscitation

How to fill out Revocation of Cardiopulmonary Resuscitation Directive

1. Obtain the Revocation of Cardiopulmonary Resuscitation Directive form from a reliable source.
2. Fill in your personal details at the top of the form, including your full name, address, and date of birth.
3. Clearly indicate that you are revoking your previous CPR directive by checking the appropriate box or signifying your intent.
4. Include the date when you are revoking the directive.
5. Sign the form in the designated area to confirm your decision.
6. Consider providing witness signatures if required by local regulations.
7. Keep a copy of the revoked directive for your records and inform your healthcare providers.

Who needs Revocation of Cardiopulmonary Resuscitation Directive?

1. Individuals who have previously completed a Cardiopulmonary Resuscitation Directive and wish to change or revoke it.
2. Patients with serious illnesses who reconsider their resuscitation preferences.
3. Persons who want to ensure that their current healthcare wishes are accurately represented.

People Also Ask about

When can a physician go against the patient's advance directives?

Doctors can refuse to follow advance directives if they have doubts about their validity. Therefore, the existence of an advance directive or of an appointed health care proxy does not resolve all difficulties in decision making.

Under what condition is the advance directive no longer valid?

Advance directives do not expire. An advance directive remains in effect until you change it. If you complete a new advance directive, it invalidates the previous one.

Which of the following situations can a physician go against the patient's advance directives?

Health care providers can do so when: Your decision is contrary to the conscience of your individual medical services provider. Your decision goes against the policy of the health care institution. Your decision would result in ineffective health care or violates the provider's health care standards.

What is one of the main problems with advance directives?

Unintended negative consequences of advance directive legal restrictions may prevent all patients, and particularly vulnerable patients, from making and communicating their end-of-life wishes and having them honored.

What is the cardiopulmonary resuscitation directive?

A CPR (cardiopulmonary resuscitation) Directive communicates your choice to decline chest compressions, medications, defibrillation (electric shock), or intubation (artificial breathing machine) in case your heart stops or you can no longer breathe on your own.

Under what condition is the advance directive no longer valid?

Advance directives do not expire. An advance directive remains in effect until you change it. If you complete a new advance directive, it invalidates the previous one.

Why would a physician not honor an advance directive?

This means that your health care provider and proxy will do their best to respect your advance directives, but there may be circumstances in which they cannot follow your wishes exactly. For example, you may be in a complex medical situation where it is unclear what you would want.

What is the main difference between a polst and an advance directive?

While an Advance Directive is a comprehensive document that covers a wide range of healthcare decisions, a POLST form is focused on end-of-life decisions that require immediate medical attention.

For pdfFiller’s FAQs

What is Revocation of Cardiopulmonary Resuscitation Directive?

The Revocation of Cardiopulmonary Resuscitation Directive is a legal document that allows an individual to cancel or withdraw any previously established orders regarding cardiopulmonary resuscitation (CPR) in the event of cardiac arrest.

Who is required to file Revocation of Cardiopulmonary Resuscitation Directive?

Individuals who previously issued a valid Cardiopulmonary Resuscitation Directive and wish to revoke it are required to file a Revocation of Cardiopulmonary Resuscitation Directive.

How to fill out Revocation of Cardiopulmonary Resuscitation Directive?

To fill out the Revocation of Cardiopulmonary Resuscitation Directive, individuals need to provide their personal information, reference the original CPR directive being revoked, and sign the document, often requiring a witness.

What is the purpose of Revocation of Cardiopulmonary Resuscitation Directive?

The purpose of the Revocation of Cardiopulmonary Resuscitation Directive is to formally indicate an individual's decision to cancel their prior instructions regarding resuscitation efforts, reflecting any change in their health care preferences.

What information must be reported on Revocation of Cardiopulmonary Resuscitation Directive?

The Revocation of Cardiopulmonary Resuscitation Directive must include the individual's name, date of birth, details of the original CPR directive being revoked, the date of revocation, and the signatures of the individual and any witnesses.