Get Nevada Dnr Form
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How to fill out the Nevada Dnr Form online
Completing the Nevada Do-Not-Resuscitate (DNR) Form online can simplify the process of ensuring your wishes regarding life-resuscitating treatments for a minor are documented clearly. This guide will walk you through each step of filling out the form accurately and effectively.
Follow the steps to complete the form online.
- Click ‘Get Form’ button to access the Nevada DNR Form, allowing you to open and fill out the document.
- In the ‘Patient Information’ section, print or type the name of the minor, including their last name, first name, and middle name. Provide the minor's address, phone number, gender, and birth date.
- Next, in the ‘Parent or Legal Guardian’s Statement’ section, the parent or legal guardian must express their wish that life-resuscitating treatment should not be administered. They should print their name, provide their address, phone number, and sign the statement, including the date.
- The attending physician must complete the ‘Attending Physician’s Statement’ by certifying that the minor has a terminal condition. The physician should print their name, provide their phone number, and license number, and sign the statement.
- Include a check or money order for $5, payable to the Nevada State Health Division, along with the completed application.
- After completing the form, download and save it, then mail the application to the specified address: Emergency Medical Services, 4150 Technology Way, Suite 101, Carson City, NV 89706.
Complete the Nevada DNR Form online today to ensure your preferences are documented.
The POLST law in Nevada establishes guidelines for the use of the POLST form, ensuring that your healthcare wishes are respected. This law allows healthcare providers to follow the specific instructions laid out in the POLST, such as the Nevada Dnr Form, even in emergency situations. By understanding the POLST law, you can better prepare for your medical care preferences and ensure they are honored. Platforms like uslegalforms can help you navigate the legal requirements and fill out the necessary documents.
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