OK Do Not Resusucitate (DNR) Consent Form 2010-2025 free printable template

OKLAHOMA DONOTRESUSCITATE (DNR) CONSENT FORM I, request limited health care as described in this document. If my heart stops beating or if I stop breathing, no medical procedure to restore breathing

How to fill out dhs dnr consent form

How to fill out OK Do Not Resusucitate (DNR) Consent Form

1. Obtain the OK Do Not Resuscitate (DNR) Consent Form from a healthcare provider or online.
2. Read the instructions carefully to understand the implications of signing the form.
3. Fill in the personal details, including the patient's full name, date of birth, and medical record number if applicable.
4. Designate a healthcare proxy or representative if desired, providing their contact information.
5. Indicate the patient's wishes regarding resuscitation by checking the appropriate boxes.
6. Have the form signed and dated by the patient or their legal representative.
7. Ensure the form is witnessed if required by your state’s regulations.
8. Make copies of the signed form for the patient, healthcare provider, and any relevant family members.
9. Provide the original form to the patient's primary healthcare provider to be placed in their medical records.

Who needs OK Do Not Resusucitate (DNR) Consent Form?

1. Individuals with serious or terminal illnesses who do not wish to receive CPR or advanced life support.
2. Patients who are approaching end-of-life care.
3. People with chronic health conditions where resuscitation may not improve quality of life.
4. Individuals who have discussed their end-of-life wishes with family and healthcare providers.

People Also Ask about

How do I set up a DNR?

How is a DNR Order Created? The doctor writes the DNR order in your medical record if you are in the hospital. Your doctor can tell you how to get a wallet card, bracelet, or other DNR documents to have at home or in non-hospital settings. Standard forms may be available from your state's Department of Health.

How do I get my DNR form in Oklahoma?

Free DNR consent forms are available and may be ordered from: OKDHS Supply Warehouse 217 N. E. 30th Street Oklahoma City, OK 73105 877-283-4113 FAX 405-528-4991 Give your name, address, phone number and quantity.

How do I get a DNR order in WV?

If you want to be kept comfortable and allowed a natural death without CPR or machines, you can ask your doctor or health care clinician to write a Do Not Resuscitate (DNR) order for you. In West Virginia, the DNR order for persons outside of a hospital is issued on an orange card.

How do I document my DNR status?

The doctor writes the DNR order in your medical record if you are in the hospital. Your doctor can tell you how to get a wallet card, bracelet, or other DNR documents to have at home or in non-hospital settings. Standard forms may be available from your state's Department of Health.

What does DHS mean in Oklahoma?

"DHS" means Oklahoma Human Services (OKDHS), also known as OKDHS, which is the state agency designated to administer the State of Oklahoma child support program.

What is an Okdhs client ID number?

What is a Customer ID? An 9-digit identification number assigned by OKDHS to be used to access Customer Services available through the OCSS Interactive Voice Response Telephone system.

What is the help desk number for Okdhs?

Need help applying? Call (405) 522-5050.

How do I report a DHS worker in Oklahoma?

Statewide Abuse and Neglect Hotline: 1-800-522-3511. OHDHSLive!

How do I contact the Oklahoma City DHS?

Need help applying? Call (405) 522-5050.

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What is OK Do Not Resusucitate (DNR) Consent Form?

The OK Do Not Resuscitate (DNR) Consent Form is a legal document that allows a patient to refuse certain medical interventions, specifically cardiopulmonary resuscitation (CPR), in the event of a medical emergency.

Who is required to file OK Do Not Resusucitate (DNR) Consent Form?

Individuals who wish to have a DNR order in place, usually those with serious health conditions or advanced directives, are required to file the OK Do Not Resuscitate (DNR) Consent Form.

How to fill out OK Do Not Resusucitate (DNR) Consent Form?

To fill out the OK Do Not Resuscitate (DNR) Consent Form, the patient or their authorized representative must provide personal information, the date, a signature, and possibly a witness or physician's signature, depending on state regulations.

What is the purpose of OK Do Not Resusucitate (DNR) Consent Form?

The purpose of the OK Do Not Resuscitate (DNR) Consent Form is to communicate the patient's wishes regarding resuscitation attempts and ensure that their medical preferences are respected by healthcare providers.

What information must be reported on OK Do Not Resusucitate (DNR) Consent Form?

The OK Do Not Resuscitate (DNR) Consent Form typically requires the patient's name, date of birth, signature, date of the form, and may also include the names of witnesses or physicians, along with the reasons for the DNR request.