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DO NOT ClRLuLha E i. M PUBLIC CRAZY The year in photos 12054 LIBRARY 18119 1().()82008 BETHLEHEM PUBLIC 45! OF. I.AWARE A VI DELMAR NY 120543042 Continued from last week's issue See Page 3 ,,, 11.

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How to Fill Out "Do Not Clrlulha e":

1. Gather the necessary information: Before filling out the "Do Not Clrlulha e" form, you will need to have certain information at hand. This typically includes the person's full name, date of birth, address, and any specific instructions or preferences they have regarding their medical treatment.
2. Read the instructions carefully: Take the time to carefully read and understand the instructions provided on the "Do Not Clrlulha e" form. This will ensure that you correctly fill out the form and provide the necessary information.
3. Complete the personal details section: Start by entering the individual's full name, including their first name, middle name (if applicable), and last name. Provide their date of birth accurately and write their current address.
4. Specify emergency contacts: In the designated section, provide the names and contact information of the person's emergency contacts. It is essential to include at least one reliable and easily reachable individual who can be contacted in case of a medical emergency.
5. Indicate medical preferences: The "Do Not Clrlulha e" form often includes a section where you can specify any specific medical preferences or instructions. If the person has any specific treatments they do not wish to receive or has certain religious or cultural considerations that need to be taken into account, make sure to clearly indicate these preferences.
6. Review and sign the form: Once you have filled out all the necessary sections, take a moment to review the form for any errors or missing information. Ensure that all the provided details are accurate and up to date. Finally, sign the form at the designated space to affirm that the information provided is true and accurate to the best of your knowledge.

Who needs "Do Not Clrlulha e":

1. Individuals with specific medical conditions: "Do Not Clrlulha e" forms are commonly used by individuals who have specific medical conditions or a wish to control their medical treatment options. These individuals may have preferences regarding resuscitation, life-sustaining treatments, or other medical interventions.
2. Senior citizens: Elderly individuals who wish to prevent certain medical procedures or interventions as they age may also need a "Do Not Clrlulha e" form. It allows them to communicate their preferences and ensure their medical treatment aligns with their desires.
3. Terminally ill patients: Individuals diagnosed with terminal illnesses and facing the end of life often utilize "Do Not Clrlulha e" forms. The forms help ensure that their wishes for end-of-life care, pain management, and resuscitation are understood and respected by healthcare providers.

Remember, it is always advisable to consult with a healthcare professional or legal expert to ensure the "Do Not Clrlulha e" form follows the legal requirements and accurately reflects the individual's preferences.

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