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  • Do Not Hospitalize Order - Healthhistory.com

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Do Not Hospitalize Order 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.

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How to fill out the Do Not Hospitalize Order - Healthhistory.com online

This guide provides a comprehensive overview of how to fill out the Do Not Hospitalize Order effectively. By following the steps outlined below, you can ensure that your preferences regarding hospitalization are clearly communicated and documented.

Follow the steps to complete your Do Not Hospitalize Order.

  1. Press the ‘Get Form’ button to access the Do Not Hospitalize Order. This will allow you to obtain the necessary document and open it for editing.
  2. Begin by entering your full name in the space provided. Ensure that the name matches the name on your legal documents.
  3. Fill in the date on which you are completing this directive. Accurate dating is crucial for ensuring that your wishes are properly documented.
  4. Indicate your address, including city, state, and zip code. This information will help identify you in medical records.
  5. Sign the document to confirm your understanding and acceptance of the Do Not Hospitalize Order. Your signature is essential for the validity of the form.
  6. Provide the required witness signatures. At least two witnesses should sign to validate the order. Each witness must also print and provide their full name, address, city, state, and zip code.
  7. If your state requires notarization, complete the acknowledgment section. A notary public will need to witness your signing of the document and provide a seal.
  8. Once all fields are filled out, review the entire document for accuracy. Ensure that it reflects your intentions clearly before finalizing.
  9. Save your changes to the form, then proceed to download or print the document. You may also share it with your healthcare provider to include it in your medical records.

Complete your Do Not Hospitalize Order online to ensure your healthcare preferences are respected.

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Often, this document includes a Do Not Hospitalize order (“DNH”). There are 2 types of DNH orders: 1) one is an absolute prohibition against hospitalization under any circumstances; and 2) a general recommendation to avoid hospitalization, but allowing the health care proxy to make the decision on a case by case basis.

Do Not Resuscitate. Do Not Resuscitate (DNR), Do Not Intubate (DNI) and Do not Hospitalize (DNH) are physician signed orders.

DNR and DNI orders are an integral part of advance care planning. In medical terms, a DNI means that patients do not want a breathing tube inserted into their trachea, via the nose or mouth, to restore normal breathing.

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Fill Do Not Hospitalize Order - Healthhistory.com

There are two types of DNH orders. One is an absolute prohibition against hospitalization under any circumstances. Do not hospitalize (DNH) orders are part of ACP but are infrequently used among nursing home residents with advanced dementia. A DoNotHospitalize order is appropriate for a patient whose goals are focused on comfort and maximizing quality of life without returning to the hospital. Often, proxies are confused about how "do not hospitalize" orders work.

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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
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