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OUTOFHOSPITAL DONOTRESUSCITATE ORDER 1. Patients Name: 2A. Attending Physician Statement: I, the undersigned, state that I am the attending physician of the patient named above. The above named patient,
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How to fill out do-not-resuscitate identification application

01
Obtain a do-not-resuscitate identification application form from a healthcare provider or hospital.
02
Read the instructions on the form carefully to understand the requirements and eligibility criteria.
03
Provide personal information such as your name, date of birth, address, and contact details.
04
Indicate your medical conditions, allergies, and any specific treatment preferences or restrictions.
05
Consider discussing your decision with your healthcare provider or a trusted medical professional.
06
Sign and date the application form to indicate your consent and understanding of the do-not-resuscitate order.
07
Submit the completed form to the relevant authority or healthcare provider for processing and record-keeping.
08
Keep a copy of the application form in a safe and easily accessible place for future reference.
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Review and update your do-not-resuscitate identification application periodically as needed.

Who needs do-not-resuscitate identification application?

01
Anyone who wishes to express their preference for do-not-resuscitate (DNR) orders may need a do-not-resuscitate identification application.
02
This can include individuals with chronic and terminal illnesses, as well as those who have discussed end-of-life care options with their healthcare provider.
03
It is important to consult with a medical professional to determine if a do-not-resuscitate order is appropriate for your specific medical condition.
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Do-not-resuscitate identification application is a form used to indicate a patient's wish to not receive cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest.
A patient or their legal representative is required to file a do-not-resuscitate identification application.
To fill out the form, one needs to provide personal information, medical history, and signature indicating the decision to not receive CPR.
The purpose is to ensure that healthcare providers are aware of the patient's wishes regarding resuscitation.
The form typically requires personal details, medical history, the decision to not receive CPR, and the signature of the patient or legal representative.
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