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Get UT Physician Order for Life Sustaining Treatment 2009-2024

Tate of Utah Rule R432-31 (http://health.utah.gov/hflcra/forms.php) This is a physician order sheet based on patient wishes and medical indications for life-sustaining treatment. Place this order in a prominently visible part of the patient’s record. Both the patient and the physician must sign this order (two physicians must sign if the patient is a minor child). When the patient’s condition makes this order applicable, first follow this order, and then, if necessary, contact the signing ph.

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