Get Emergency Department Observation Units And The Older Patient

This guide provides a clear and concise overview of how to complete the Emergency Department Observation Units And The Older Patient form online. By following these straightforward steps, users can effectively communicate their wishes regarding healthcare discussions with family and friends.

Follow the steps to complete the form online easily.

1. Press the ‘Get Form’ button to retrieve the document and open it in your preferred editor.
2. Begin by entering the patient's name in the designated field. Ensure accuracy to avoid confusion.
3. Fill in the birthdate of the patient in the specified format, ensuring the date is complete and correctly formatted.
4. Input the current system number (CSN) in the appropriate section as this identifies the patient’s record.
5. List names of family members or friends that the patient wishes to include in discussions about their healthcare. Provide their contact information, including phone numbers.
6. Specify the relationship of each listed person to the patient by selecting from the options provided, ensuring clarity.
7. If any sensitive information protection is desired, initial the relevant lines that correspond to HIV/AIDS, substance abuse services, and other specified areas.
8. Review all entries to ensure that the information provided is accurate and reflects the patient’s wishes.
9. Sign the form as the patient or, if necessary, a legally authorized representative. Include the date of the signature in the format requested.
10. Once completed, save changes to the document. Users may also choose to download, print, or share the form for their records.

Complete your forms online to ensure everyone's healthcare preferences are respected.