Get Comfort Care/do Not Resuscitate (dnr") Order Verification" - Mass
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How to fill out the Comfort Care/Do Not Resuscitate (DNR) Order Verification - Mass online
Filling out the Comfort Care/Do Not Resuscitate (DNR) Order Verification form is a crucial step in ensuring that a person's wishes regarding medical treatment are respected. This guide provides clear instructions on how to complete this important document online.
Follow the steps to accurately complete your DNR order verification.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering the patient's last name, first name, and middle name or initial in the appropriate fields.
- Input the patient's date of birth in the format MM/DD/YYYY to verify their identity.
- Select the patient's gender by marking either 'M' for male or 'F' for female.
- Provide the patient's complete street or residential address, including city, state, and ZIP code.
- If applicable, fill in the last name and first name of the guardian or healthcare agent.
- In the patient/guardian/health care agent statement section, select the appropriate role (patient, guardian, or health care agent) and sign along with the date to verify understanding that the DNR order will be recognized.
- Next, the attending physician, nurse practitioner, or physician assistant must verify the DNR order by signing and dating the form, confirming that it is current and valid.
- Indicate whether the DNR order has an expiration date by checking the appropriate box and providing the date if necessary.
- Finally, ensure all fields are accurately filled out, then save changes, and download or print the completed form for your records.
Complete the Comfort Care/DNR Order Verification online today to ensure your healthcare preferences are documented.
While you can write your own DNR, it is highly recommended to use an official template to ensure compliance with Massachusetts laws. A personal DNR must include specific language and details to be considered valid for Comfort Care/Do Not Resuscitate (DNR) Order Verification - Mass. To enhance your DNR’s effectiveness, it’s best to discuss your wishes with a healthcare provider and use a platform like UsLegalForms to access compliant templates.
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