Get the free WV Do Not Resuscitate (DNR) - WV Center for End-of-Life Care

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Date:___VERIFICATION OF DO NOT RESUSCITATE ORDER Dear MD/DO/APRN:please complete this card and with the permission of the patient, FAX the entire card to the WV directive Registry, then detach at

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How to fill out wv do not resuscitate

01

Obtain the form from a healthcare provider or facility in West Virginia.

02

Complete the form with the individual's personal information, including name, date of birth, and address.

03

Indicate the individual's wishes regarding resuscitation, including whether they want to be resuscitated or not.

04

Have the form signed by the individual or their legal representative, as well as a witness.

05

Make copies of the completed form to keep with the individual's medical records and provide to healthcare providers as needed.

Who needs wv do not resuscitate?

01

Individuals in West Virginia who have specific wishes regarding resuscitation in case of a medical emergency.

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What is wv do not resuscitate?

WV Do Not Resuscitate (DNR) is a legal form that allows individuals to specify their wishes regarding resuscitation in case of a medical emergency.

Who is required to file wv do not resuscitate?

WV Do Not Resuscitate forms are typically filed by patients in consultation with their healthcare providers.

How to fill out wv do not resuscitate?

To fill out a WV Do Not Resuscitate form, individuals can download the form online, fill it out with their personal information and medical preferences, and have it signed by a healthcare provider.

What is the purpose of wv do not resuscitate?

The purpose of WV Do Not Resuscitate is to ensure that an individual's wishes regarding resuscitation are honored in the event of a medical emergency.

What information must be reported on wv do not resuscitate?

WV Do Not Resuscitate forms typically require information such as the individual's name, date of birth, contact information, medical history, and specific resuscitation preferences.

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