Get Life Extinct Phc Remote Form

Filling out the Life Extinct PHC Remote Form online is an important step in documenting the clinical determination of death. This guide provides clear, step-by-step instructions to help users complete the form accurately and effectively.

Follow the steps to complete the Life Extinct PHC Remote Form online.

1. Press the ‘Get Form’ button to access the Life Extinct PHC Remote Form and open it in your chosen editing interface.
2. Begin by entering the name of the deceased individual, including their surname and given name in the provided fields.
3. Input the date of birth of the deceased in the corresponding box.
4. Select the gender by ticking the appropriate box for 'Female' or 'Male'. If the identity is not known, enter 'unknown'.
5. If known, enter the Health Record Number (HRN) of the deceased.
6. Provide details of the examination by indicating the location, date, and time of the assessment.
7. Tick all relevant boxes to confirm the clinical determination of death. Each box must be checked to validate the determination.
8. Print the name of the clinician confirming death, along with their position title and signature, including the date of signing.
9. Respond to the questions regarding notification of the medical practitioner, the medical certificate of cause of death, and whether the death was expected or reportable by ticking the appropriate boxes.
10. Note where the body will be stored (e.g., community morgue, regional hospital).
11. Indicate whether the manager on-call and the police have been notified of the death by ticking the appropriate boxes.
12. Once all fields are completed, you can save changes, download, print, or share the form as necessary.

Take action today and complete the Life Extinct PHC Remote Form online for timely documentation.