Get Emergency Medical Services Do Not Resuscitate Order South ...

Filling out the Emergency Medical Services Do Not Resuscitate Order is an important process for individuals who wish to communicate their healthcare preferences. This guide provides clear, step-by-step instructions to successfully complete the form online, ensuring your wishes are respected in emergency situations.

Follow the steps to complete the form efficiently.

1. Click ‘Get Form’ button to access the document and open it in an online editor.
2. Begin by entering the name of the patient in the designated field. Ensure that the name is spelled correctly to avoid any confusion.
3. Indicate the patient's terminal condition as diagnosed by their physician. This section is crucial as it validates the need for a Do Not Resuscitate order.
4. The patient or their designated surrogate or agent should provide their signature, confirming their request for the Do Not Resuscitate order. If applicable, ensure that the surrogate's relationship to the patient is documented.
5. The physician must print their name and sign the form, certifying the patient's condition and the completion of the order.
6. Fill in the physician's address and telephone number to ensure proper communication and verification.
7. Review all entries for accuracy. Once confirmed, users can save changes, download, print, or share the completed form as necessary.

Complete your Emergency Medical Services Do Not Resuscitate Order online today to ensure your healthcare preferences are clearly documented.