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How to fill out the Vietnamese Polst Form online
The Vietnamese Polst Form provides individuals with an essential means to express their end-of-life care preferences. This guide will assist you in completing the form accurately and efficiently online, ensuring that your wishes are communicated clearly.
Follow the steps to successfully complete the Vietnamese Polst Form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering the patient's full name in the designated field. Provide the necessary identifying details, including the date of birth and medical record number if applicable.
- In section A, mark the option that reflects the patient's wishes regarding cardiopulmonary resuscitation (CPR). Choose either 'Attempt CPR' or 'Do Not Attempt Resuscitation (DNR)' as per the patient's desired intervention.
- Proceed to section B, where you specify the types of medical interventions to be applied. Select from options such as 'Comfort Measures Only', 'Limited Additional Interventions', or 'Full Treatment' based on the patient's preferences.
- In section C, detail the patient's nutritional preferences, indicating whether they desire no artificial nutrition, a trial of artificial nutrition, or long-term feeding through a tube.
- Ensure to include the contact information of the healthcare provider completing the form. This includes their name, title, and contact number in the provided fields.
- The patient or their legally recognized decision-maker must sign the form to validate the choices made. Provide the printed name, signature, and date of signing in the appropriate sections.
- Finally, review all entries for accuracy. Once confirmed, save your changes, download the completed form, print it, or share it as needed.
Take control of your healthcare preferences—fill out the Vietnamese Polst Form online today.
For a Vietnamese Polst Form to be valid, it must contain the patient's name, medical condition details, and explicit treatment preferences. The form needs signatures from both the patient or their representative and a healthcare provider. Additionally, it should be completed correctly and maintained in an accessible location for healthcare professionals. Regularly verifying the form's accuracy is also important for it to hold up in critical situations.
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