Indiana Do Not Resuscitate Form For Illinois

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

Description

The Indiana Do Not Resuscitate Form for Illinois is a legal document that allows individuals to express their wishes regarding resuscitation in emergency medical situations. It includes essential details such as the declarant's name, signature, and the explicit revocation of any previous Do Not Resuscitate Orders. This form is particularly useful for individuals who wish to ensure their end-of-life preferences are respected, providing clarity for medical professionals and family members. Attorneys can utilize this form to assist clients in accurately documenting their wishes, while paralegals and legal assistants can help in the preparation and distribution of the form. Partnerships and ownership in healthcare-related settings benefit from understanding and implementing this form to better serve patients. When filling out the form, users should ensure they date the document and provide their address alongside their signature. Editing is straightforward; any previous declarations can be revoked simply by executing this new form. It's crucial for anyone involved in healthcare or legal practices to be adept in the use of this document, facilitating informed decision-making for their clients or patients.

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

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FAQ

Step 1 ? Download the POLST form in PDF. Step 2 ? Enter the patient's full name, date of birth, gender and address on the lines at the top of the form. Step 3 ? Select one (1) of the CPR options under section 'A'; ?Attempt Resuscitation? or ?Do Not Attempt Resuscitation.?

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.

Illinois law allows you to make four types of advance directives: a health care power of attorney; a living will; a mental health treatment preference declaration, and a Practitioner Orders For Life-Sustaining Treatment (POLST).

There are currently two types of DNR orders: 1) "DNR Comfort Care," and 2) "DNR Comfort Care - Arrest." Upon the issuance of either order, standard forms of identification are provided for in OAC rule 3701-62-04.

In all cases, the patient's attending physician must sign off on the DNR order form. Illinois recently revised their DNR form and integrated it into a more detailed and all-encompassing life-sustaining-treatment form; the Practitioner Orders for Life-Sustaining Treatment (POLST) form.

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Indiana Do Not Resuscitate Form For Illinois