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DO NOT HOSPITALIZE I, , being over the legal age required by law and of sound mind do voluntarily and intentionally make known my desire and will that a Do Not Hospitalize Order be placed in my medical.

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How to fill out the DO NOT HOSPITALIZE online

The DO NOT HOSPITALIZE form is a critical document that allows individuals to express their healthcare preferences regarding hospitalization. This guide will provide clear, step-by-step instructions on how to complete this form online to ensure your wishes are properly documented.

Follow the steps to complete your DO NOT HOSPITALIZE form online successfully.

  1. Click the 'Get Form' button to access the DO NOT HOSPITALIZE form and open it in your preferred editing platform.
  2. In the first blank section, write your full legal name to identify yourself as the person expressing this directive.
  3. State your intention clearly by affirmatively indicating your desire to have a DO NOT HOSPITALIZE order in your medical records.
  4. Next, list any specific conditions or instructions you wish to provide regarding your healthcare management in the designated areas.
  5. Confirm your understanding that you will only be hospitalized if deemed absolutely necessary by the attending physician or healthcare surrogate.
  6. Include the date of signing in the space provided after you finalize your directives.
  7. Ensure you sign the form in the presence of at least two witnesses; their names and signatures should also be clearly recorded on the form.
  8. If required by your state's laws, acknowledge the document in front of a notary public to validate it.
  9. Once all sections are completed, save your changes, and choose the options to download, print, or share your form as needed.

Complete your DO NOT HOSPITALIZE form online today to ensure your healthcare preferences are documented.

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The Do Not Hospitalize Order As the name sounds, the do not hospitalize (DNH) order is an advance directive that prohibits relatives or health care providers from admitting a loved one in the hospital if needed.

For nursing home residents who wish to forego further hospitalization, a do-not-hospitalize (DNH) order is a way of translating that preference into a medical order in the chart. 5, 6. There is evidence that residents with do-not-hospitalize (DNH) orders are less likely to be hospitalized near the end of life.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232