YSICIAN PRINTED OR TYPED NAME OF ATTENDING PHYSICIAN: ATTENDING PHYSICIAN S TELEPHONE NUMBER: DATE: Made Fillable by eForms.

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How to fill out the GA Do Not Resuscitate (DNR) Order online

Filling out a Do Not Resuscitate (DNR) Order is an important step for individuals who want to ensure their healthcare preferences are known. This guide provides clear, step-by-step instructions on how to complete the GA DNR Order form online, ensuring that your wishes are respected.

Follow the steps to complete the form with ease.

  1. To begin, click the ‘Get Form’ button to obtain the GA DNR Order form and open it in your preferred online editor.
  2. In the first blank field labeled 'NAME OF PATIENT', enter the full name of the individual for whom the DNR order is being completed.
  3. After entering the patient’s name, locate the section that states 'THIS CERTIFIES THAT AN ORDER NOT TO RESUSCITATE HAS BEEN ENTERED ON THE ABOVE-NAMED PATIENT.' This confirms the intent of the form.
  4. The next section requires the signature of the attending physician. Ensure that this field is completed by the authorized healthcare provider.
  5. In the 'PRINTED OR TYPED NAME OF ATTENDING PHYSICIAN' field, enter the full name of the attending physician. This is essential for the document's validity.
  6. Provide the contact information by filling in the 'ATTENDING PHYSICIAN’S TELEPHONE NUMBER' field, ensuring it is accurate for any necessary follow-up.
  7. Finally, enter the date on which the order is being signed, as this will denote the document's effectiveness.
  8. Once all sections are accurately completed, you can save any changes, download the document, print it for physical signatures, or share it as needed.

Start documenting your preferences by completing the GA Do Not Resuscitate Order online today.

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Questions & Answers

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What is the DNR law in Georgia?

No person shall be civilly liable or criminally prosecuted for failing or refusing in good faith to carry out an order not to resuscitate or for consenting in good faith or declining to consent on behalf of a patient to the issuance of an order not to resuscitate.

The only exception for the DNR would be if there is a licensed health care provider in the facility such as a registered nurse, and the patient is receiving hospice services.

The DNR must be signed by the patient or by the patient's legally recognized health care decisionmaker if the patient is unable to make or communicate informed health care decisions.

The main point is this: as a bystander, i.e. a non-medical professional, you cannot get into any legal trouble for giving CPR to a person with a DNR, and should always give CPR as soon as possible to all victims of sudden cardiac arrest.

A DNR order may be invalidated if the immediate cause of a respiratory or cardiac arrest is related to trauma or mechanical airway obstruction.

Georgia Do Not Resuscitate (DNR) Order Form Laws – § 31-39-(2-9) Required to Sign – Physician. Step 1 – One can ask the patient's physician to draft a DNR form on behalf of the patient. ... Step 2 – Provide the following information in the applicable fields: Step 1 – Download the DNR Bracelet Request Form in Adobe PDF.

Yes, a DNR order can be revoked. A DNR order can be signed by an individual, or their legally-recognized health care agent. If you wish to cancel your DNR order, simply notify your attending physician. They are required to remove the order from your medical record.

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