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Get New York State Department Of Health Nonhospital Order Not To Resuscitate Form. Form Doh-3474
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How to fill out the New York State Department Of Health Nonhospital Order Not To Resuscitate Form, Form DOH-3474 online
The New York State Department Of Health Nonhospital Order Not To Resuscitate Form (Form DOH-3474) is an important document for individuals wishing to express their preferences regarding resuscitation in a nonhospital setting. This guide aims to provide clear, step-by-step instructions for completing the form online, ensuring that users can easily navigate the process.
Follow the steps to complete the form accurately and efficiently.
- To obtain the form, press the ‘Get Form’ button to access it and open it in the editor.
- In the first field, enter the person's name as it appears on their legal documents.
- Next, fill in the date of birth in the format of month, day, and year (MM/DD/YYYY).
- Indicate the decision not to resuscitate the person by selecting the appropriate option.
- The physician must provide their signature in the designated area to validate the order.
- Print the physician's name clearly in the next field, ensuring accuracy.
- The physician's license number should be entered in the corresponding field.
- Lastly, the physician should sign and date the form again using the MM/DD/YYYY format.
- After completing the form, users can save changes, download, print, or share the completed document as needed.
Start completing your documents online today to ensure your preferences are known and documented.
For example, someone with terminal cancer might write that they do not want to be put on a respirator (breathing machine) if they stop breathing. This action can increase their control over their death and their peace of mind, and eventually reduce their suffering.
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