Get Virginia Post Form Pdf

Filling out the Virginia Post Form Pdf is crucial for ensuring that healthcare providers understand a person's treatment preferences in various medical situations. This guide provides straightforward, step-by-step instructions to help you complete the form accurately and effectively online.

Follow the steps to fill out the Virginia Post Form Pdf online.

1. Click ‘Get Form’ button to obtain the form and open it in an online editor.
2. Begin by entering the patient's name in the designated field for 'Name Last / First / M.I.' This information is essential for identifying the individual whose treatment preferences the form reflects.
3. Provide the patient's address, including the city, state, and zip code. This helps in maintaining proper records and ensuring that care settings are aware of the patient's location.
4. Fill in the patient's date of birth in the format mm/dd/yyyy. This is important for verifying the identity and age of the patient.
5. Input the last four digits of the patient's Social Security Number in the appropriate box to assist in the identification process.
6. For the section on cardiopulmonary resuscitation (CPR), select one option: either 'Attempt Resuscitation' or 'Do Not Attempt Resuscitation (DNR/No CPR)'. This choice outlines the patient's preferences in critical scenarios.
7. In the medical interventions section, choose one of the three options provided: 'Comfort Measures', 'Limited Additional Interventions', or 'Full Interventions'. Each option reflects varying levels of medical intervention based on the individual's current medical condition and wishes.
8. Add any specific instructions under 'Other Instructions' if applicable. This allows for additional personal preferences to be documented.
9. Select the preferred method for artificially administered nutrition by choosing one option for the feeding tube as listed. This decision should align with the patient's treatment goals.
10. Indicate who has discussed the form with the patient by selecting from the available options: Patient, Agent under Advance Medical Directive, or Court Appointed Guardian.
11. The physician must print their name and sign the form to verify that they have discussed the decisions with the patient or authorized person. This section is mandatory.
12. Ensure the patient or the person authorized to consent signs the form, along with printing their name and detailing their authority to sign on the patient's behalf, if applicable.
13. Once all sections are filled out completely, save the changes made to the form. You can then download, print, or share the completed Virginia Post Form Pdf online.

Complete your Virginia Post Form Pdf online today to ensure your healthcare preferences are respected.