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State of Nevada Division of Public and Behavioral Health Bureau of Health Care Quality and Compliance 727 Fairview Drive, Suite E Carson City, NV 89701 Phone: 7756841030 Fax: 7756841073Application
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How to fill out order nevada polst forms

01
Obtain a copy of the Nevada POLST form from a healthcare provider or online.
02
Complete the patient demographic information, including name, date of birth, and address.
03
Indicate the patient's medical condition and treatment preferences in Section A.
04
Have the patient or their legal representative sign and date the form in Section B.
05
Review the form with a healthcare provider to ensure accuracy and completeness.
06
Keep a copy of the completed form for your records and provide one to your healthcare provider.

Who needs order nevada polst forms?

01
Patients who have advanced illnesses or chronic medical conditions.
02
Patients who wish to document their treatment preferences for end-of-life care.
03
Patients who want to ensure their treatment wishes are honored by healthcare providers.
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Order Nevada POLST (Physician Orders for Life-Sustaining Treatment) forms are medical orders that are filled out by a healthcare provider based on a patient's specific wishes regarding life-sustaining treatment.
Order Nevada POLST forms are typically filled out by healthcare providers in consultation with their patients.
Order Nevada POLST forms should be filled out by a healthcare provider in accordance with the patient's wishes regarding life-sustaining treatment.
The purpose of Order Nevada POLST forms is to ensure that a patient's wishes regarding life-sustaining treatment are honored and followed by healthcare providers.
Order Nevada POLST forms typically include information about the patient's preferences regarding CPR, intubation, and other life-sustaining treatments.
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