Get Ny Doh-3474 2020-2026

The NY DOH-3474 form, also known as the nonhospital order not to resuscitate (DNR order), is crucial for individuals wishing to specify their resuscitation preferences in a medical context. This guide will provide you with step-by-step instructions to complete the form efficiently and accurately.

Follow the steps to fill out the NY DOH-3474 online successfully.

1. Press the ‘Get Form’ button to access the NY DOH-3474 form and open it in your preferred online editor.
2. Begin by entering the person’s name in the designated field. Ensure that the name is spelled accurately to match legal documents.
3. Input the individual’s date of birth in the required format. Double-check the date for correctness to avoid any processing issues.
4. In the section stating 'Do not resuscitate the person named above,' verify that the statement reflects the individual’s wishes clearly.
5. Have the physician, nurse practitioner, or physician assistant sign in the provided signature field. This signature is critical for the order to be valid.
6. In the corresponding field, the signing medical professional should print their name clearly to ensure easy identification.
7. Enter the medical professional's license number in the required section. This detail verifies their credentials and authority to issue the DNR order.
8. Finally, complete the form by entering the date when it was signed. Ensure this date is correct as it signifies the validity of the DNR order.
9. After filling out the form, you can choose to save the changes, download the completed document, print it, or share it with relevant parties.

Complete the necessary documents online to ensure your preferences are clearly recorded and respected.