Get Puls Form Pdf

The Puls Form Pdf is an essential document that outlines an individual’s wishes regarding resuscitation efforts in medical emergencies. This guide provides clear, step-by-step instructions on how to complete the form online, ensuring that you understand each section and field.

Follow the steps to effectively complete the Puls Form Pdf online.

1. Click 'Get Form' button to access the form and open it in a digital format.
2. Fill in the patient's full name in the designated space, ensuring clarity for identification.
3. Enter the patient's birth date in the specified field to confirm their identity.
4. For the full cardiopulmonary arrest section, mark the option for 'Do Not Attempt Cardiopulmonary Resuscitation (CPR)' to indicate the patient's wishes.
5. In the pre-arrest emergency section, choose between 'Do Attempt Cardiopulmonary Resuscitation (CPR)' or 'Do Not Attempt Cardiopulmonary Resuscitation (CPR)' based on the patient's preferences.
6. Provide any additional instructions in the space given, which may clarify the patient's needs further.
7. Sign and print the name of the individual authorizing the patient directive and indicate the date of signing.
8. If applicable, the legal guardian or healthcare representative must print their name, sign, and date the section as necessary.
9. Ensure a witness aged 18 or older signs the form to validate the consent process, printing their name and indicating the date.
10. The attending physician must sign, print their name, and include their contact number to complete the DNR order.
11. Once the form is fully completed, review all the information for accuracy and make necessary corrections.
12. Finally, save the changes, download a copy of the completed form, print, or share it as necessary.

Complete and manage your DNR documentation online today.