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Indiana Revocation of Out of Hospital - Do Not Resuscitate Declaration...

Indiana Do Not Resuscitate Form For Patients

Q: How do you write a do not resuscitate order?

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.

Category:

Power of Attorney - Healthcare - Revocations

State:

Indiana

Control #:

IN-P022B

Format:

Instant download

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Description

The Indiana Do Not Resuscitate Form for patients is designed to provide clarity and ensure that a person's wishes regarding medical treatment are honored, specifically in circumstances where resuscitation may be required. This form allows individuals to declare their preference not to receive life-saving measures outside of a hospital setting. Key features of the form include clear sections for the signature and printed name of the declarant, as well as a provision allowing for the revocation of the declaration at any time. Filling out the form requires careful attention to detail, where the declarant must ensure all information is accurate and legible. For attorneys, partners, owners, associates, paralegals, and legal assistants, this form is instrumental in facilitating end-of-life discussions with clients, ensuring compliance with state laws, and guiding families in healthcare decision-making. It emphasizes the importance of respecting patient autonomy while also providing legal protection for healthcare providers acting in accordance with the patient's wishes. Specific use cases include scenarios where patients are entering long-term care facilities or for those with progressive health conditions who wish to document their healthcare preferences proactively.

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

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FAQ

National Resources on Advance Care Planning and COVID-19. NEW! Indiana Out-of-Hospital DNR Order Form (English) An Out-of-Hospital Do Not Resuscitate (DNR) order directs emergency responders to withhold resuscitation in the event that a person's heart and breathing stop.

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.

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.

Who can complete the POST form? Each patient can, complete the POST form with his or her physician. If the individual lacks decision making capacity, a legally-appointed guardian representative may complete a POST form on his or her behalf.