Get Patients Or Authorized Agents Directive To Withhold Cardiopulmonary Resuscitation (cpr) - Colorado

This guide provides a clear and supportive framework for completing the Patients Or Authorized Agents Directive To Withhold Cardiopulmonary Resuscitation (CPR) in Colorado. By following these steps, users can ensure that their or their loved ones' wishes regarding CPR are clearly articulated and documented.

Follow the steps to successfully complete the directive online.

1. Begin by locating the ‘Get Form’ button to access the directive and open it in your preferred online editor.
2. Enter the patient’s information in the designated fields, including the printed name, date of birth, gender, race, ethnicity, eye color, and hair color.
3. If applicable, provide the name of the authorized agent, legally authorized guardian, or parent of a minor child in the appropriate area.
4. Fill in the name of the hospice program or provider if relevant, ensuring accurate information to avoid any confusion.
5. Next, complete the physician’s information section by entering the printed name, address, telephone number, and Colorado License number of the physician.
6. In the directive attestation section, check only the box that applies to the patient or authorized agent, confirming that the individual meets the age and mental capacity requirements, and understands the implications of the directive.
7. Indicate any wishes regarding tissue donation by checking the appropriate boxes, and specify which tissues, if any, the person wishes to donate.
8. Finally, ensure the patient or authorized agent signs and dates the document, as well as the physician, in their respective sections.
9. Once all sections are completed, save your changes, download the completed document, print it for your records, or share it as necessary.

Complete your directive online today to ensure your wishes are clearly expressed.