Indiana Do Not Resuscitate Form For Florida

State:
Indiana
Control #:
IN-P022B
Format:
Word; 
Rich Text
Instant download

Description

The Indiana Do Not Resuscitate Form for Florida is designed for individuals wishing to revoke their prior Out of Hospital Do Not Resuscitate Declaration and Physician's Do Not Resuscitate Order. This form allows a Declarant to formally communicate their decision to withdraw consent for resuscitation treatment. Key features of the form include clear sections for the Declarant's signature, printed name, and address, ensuring that the revocation is properly documented and communicated. Attorneys, partners, owners, associates, paralegals, and legal assistants can utilize this form to facilitate the legal processes regarding end-of-life decisions. Filling out and editing the form can be done simply by providing the requisite details, including the date of revocation and the Declarant's information. The target audience can use this form to assist clients in ensuring their health care preferences are respected and up-to-date. Overall, this document serves as a crucial tool in managing advance care planning and protecting the rights of individuals in medical emergencies.

How to fill out Indiana Revocation Of Out Of Hospital - Do Not Resuscitate Declaration - DNR?

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FAQ

A do not resuscitate order (commonly referred to as a DNR or DNRO) is governed by FAC 64J-2.018 which provides the procedure for instructing paramedics and emergency room doctors to refrain from conducting CPR in the event of cardiac arrest or respiratory arrest.

How to Write Step 1 ? Access The Florida Do Not Resuscitate (DNR) Order Form As A PDF File. ... Step 2 ? Identify The Florida Resident Issuing This Paperwork. ... Step 3 ? Indicate If The Issuer Will Provide The Executing Signature Personally. ... Step 4 ? Execute The Florida Order By Signature.

The DNR order must be signed by the patient or legally appointed healthcare professionals to make medical decisions on the patient's behalf. All parties who have signed the form must sign twice, once more at the bottom of the page, to confirm proper completion.

Both the patient (or their surrogate, durable power of attorney, etc?) AND the patient's doctor must sign. The only other DNR requirement is: yellow paper.

Indiana Code § 16-36-1.7 provides the requirements for this type of advance directive. In a hospital, if you have a terminal condition and you do not want CPR, your physician will write a ?do not resuscitate? order in your medical chart.

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Indiana Do Not Resuscitate Form For Florida