Indiana Do Not Resuscitate Form For Fridge
Description
How to fill out Indiana Revocation Of Out Of Hospital - Do Not Resuscitate Declaration - DNR?
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FAQ
A DNR order must be written by a doctor. The doctor will typically explain your options to you and your family, outlining what the DNR entails. With your consent, the doctor will create the order and enter it into your medical record. It will then be visible and applicable to any medical professionals who treat you.
The Indiana POST form must include the following to be valid: Patient name; code status order; treating practitioner signature with date; and patient or legal representative signature with date. The form must also be in English.
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.
Creating a DNR is simple and affordable at 12 Law. The only person that you need it signed with is your doctor and the presence of an adult witnesses or a lawyer who will witness for you as you sign the document.
I, _________________________________________, request limited emergency care as herein described. I understand DNR means that if my heart stops beating or if I stop breathing, no medical procedure to restart breathing or heart functioning will be instituted.
