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W WASHINGTON STATE OEPAIITMENTOF Natural Resources Water Type Modification Form (For changes to the Water Type Map) Check all that apply Adding streams/lake “Removing streamsllakes Changing location
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How to fill out dnr use only
How to fill out DNR use only:
01
Start by obtaining a DNR form: Contact your local health department or visit their website to locate the form. You may also consult with medical professionals or hospice care providers to assist you in obtaining the form.
02
Read the instructions carefully: Once you have the DNR form, carefully read the provided instructions. Make sure you understand the purpose of the DNR form, the limitations it places on medical interventions, and any specific guidelines for completing the form.
03
Provide personal information: Fill out the required personal information accurately. This typically includes your full name, date of birth, and address. Some forms may also require additional details such as emergency contact information.
04
Specify healthcare proxy: If you have appointed a healthcare proxy, indicate their name and contact information on the form. A healthcare proxy is a person designated to make medical decisions on your behalf if you are unable to do so.
05
Discuss treatment preferences: The DNR form may include space to specify your treatment preferences. Consider discussing these preferences with your healthcare provider or loved ones beforehand to ensure you accurately convey your wishes.
06
Sign and date the form: Once you have completed all the necessary sections, sign and date the form. If required, have a witness or medical professional also sign the form to validate its authenticity. Follow any additional instructions on where to submit the completed form.
Who needs DNR use only:
01
Individuals with terminal illnesses: DNR use only is commonly recommended for individuals with terminal illnesses who do not wish to undergo resuscitative measures in the event of cardiac or respiratory arrest. It allows them to have a natural death without unnecessary interventions.
02
Elderly individuals with serious health conditions: DNR use only may be suitable for elderly individuals with serious health conditions who have discussed their end-of-life preferences with their healthcare providers and have decided against aggressive resuscitative measures.
03
Individuals in palliative or hospice care: Patients receiving palliative or hospice care, where the focus is on improving quality of life and managing symptoms rather than prolonging life, may opt for a DNR use only designation to align with their care goals.
Remember, it is crucial to consult with a healthcare provider or medical professional to fully understand the implications of a DNR use only designation and ensure your decision aligns with your specific circumstances and values.
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What is dnr use only?
DNR use only stands for Do Not Resuscitate use only. It is a medical order indicating that a patient does not want CPR or other life-saving measures to be performed if their heart stops or they stop breathing.
Who is required to file dnr use only?
A dnr use only form is typically filled out by the patient in consultation with their healthcare provider. It is important for the patient to discuss their wishes and make sure they are clearly documented in the form.
How to fill out dnr use only?
To fill out a dnr use only form, the patient can discuss their preferences with their healthcare provider and complete the form with all necessary information, including signatures from the patient and provider.
What is the purpose of dnr use only?
The purpose of dnr use only is to ensure that a patient's wishes regarding resuscitation are clearly communicated and followed in the event of a medical emergency.
What information must be reported on dnr use only?
A dnr use only form typically includes the patient's name, date of birth, medical history, and specific instructions regarding resuscitation.
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