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MICHIGAN DONOTRESUSCITATE PROCEDURE ACT (EXCERPT) Act 193 of 1996 333.1054 Execution of order; form; language. Sec. 4. A donotresuscitate order executed under section 3 or 3a shall include, but is
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How to fill out michigan do-not-resuscitate procedure act

01
To fill out the Michigan Do-Not-Resuscitate Procedure Act, follow these steps:
02
Obtain the necessary form from a licensed healthcare provider or hospital.
03
Fill in your personal information, including your name, date of birth, and contact information.
04
Provide your current healthcare provider's name and contact information.
05
Indicate your decision regarding resuscitation. You can choose between 'Do Not Resuscitate' (DNR) or 'Allow Full Resuscitation.'
06
If you have any specific directives or preferences regarding resuscitation, include them in the designated section.
07
Sign and date the form.
08
Have the form witnessed by two individuals who are not directly involved in your medical care.
09
Make copies of the completed form for yourself and your healthcare provider.
10
Share the form with your healthcare provider, family members, and anyone else involved in your care to ensure they are aware of your wishes.
11
Keep the original form in a safe and easily accessible place, such as your medical records.

Who needs michigan do-not-resuscitate procedure act?

01
Michigan Do-Not-Resuscitate Procedure Act is applicable for individuals who have made an informed decision regarding their resuscitation preferences and wish to legally document their choices.
02
It is commonly used by patients who are terminally ill, have advanced healthcare directives, or have a desire to avoid certain medical interventions in the event of cardiac or respiratory arrest.
03
The act provides legal protection and ensures that healthcare providers respect the individual's wishes regarding resuscitation.
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The Michigan Do-Not-Resuscitate Procedure Act allows individuals to request that healthcare providers do not perform resuscitation in case of cardiac or respiratory arrest.
The patient, or the patient's legal guardian or healthcare representative, is required to file the Michigan Do-Not-Resuscitate Procedure Act.
The Michigan Do-Not-Resuscitate Procedure Act form must be completed and signed by the patient or the patient's legal guardian or healthcare representative.
The purpose of the Michigan Do-Not-Resuscitate Procedure Act is to ensure that a patient's wishes regarding resuscitation are communicated and honored.
The Michigan Do-Not-Resuscitate Procedure Act form must include the patient's name, signature, and the date the form was signed.
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