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DONOTRESUSCITATE DNR DONOTRESUSCITATE DNR DONOTRESUSCITATE DNR DONOTRESUSCITATE DNR (Page 1 of 2)Illinois Department of Public HealthUNIFORM DONOTRESUSCITATE (DNR) ADVANCE DIRECTIVE
Patient Directive,
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How to fill out patient directive
How to fill out patient directive
01
Obtain a copy of the patient directive form from your healthcare provider or online.
02
Read and understand the instructions and information provided on the form.
03
Fill in your personal information including your name, date of birth, and contact information.
04
Specify your healthcare preferences and treatment choices in the event that you are unable to communicate or make decisions.
05
Consider appointing a healthcare proxy or power of attorney to make healthcare decisions on your behalf.
06
Sign and date the form in the presence of witnesses or a notary public.
07
Keep a copy of the completed patient directive form for your records and provide a copy to your healthcare provider.
Who needs patient directive?
01
Anyone who wants to ensure that their healthcare preferences are known and respected in case they are unable to communicate or make decisions.
02
Individuals with chronic or terminal illnesses.
03
Elderly individuals who may be at risk for cognitive decline.
04
Individuals undergoing high-risk medical procedures.
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What is patient directive?
A patient directive is a legal document that outlines a patient's preferences regarding medical treatment and care in the event that they are unable to communicate their wishes.
Who is required to file patient directive?
Patients who wish to have their healthcare preferences documented and respected in situations where they cannot communicate effectively are encouraged to complete and file a patient directive.
How to fill out patient directive?
To fill out a patient directive, individuals should gather necessary information about their health care preferences, consult with healthcare professionals if needed, and complete the directive forms, which often include sections on medical treatment preferences and designation of a healthcare proxy.
What is the purpose of patient directive?
The purpose of a patient directive is to ensure that an individual's healthcare wishes are known and respected, allowing them to make decisions about their own medical treatment ahead of time.
What information must be reported on patient directive?
The patient directive must include personal information, medical conditions if relevant, specific wishes regarding treatments and care, and the designation of a healthcare proxy.
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