Indiana Do Not Resuscitate Form For Texas
Description
How to fill out Indiana Revocation Of Out Of Hospital - Do Not Resuscitate Declaration - DNR?
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FAQ
The Texas Department of State Health Services (DSHS) maintains a page with forms for use in the Out-of-Hospital Do-Not-Resuscitate program. The program allows people to decide that they do not want to be resuscitated. It allows people to declare that certain resuscitative measures will not be used on them.
The Texas Out-of-Hospital DNR form requires your signature, the signatures of your doctor, and the signatures of two competent adult witnesses or a notary instead of the witnesses. If you use two witnesses, rather than a notary, one of the two witnesses cannot be: Your relative (by blood or marriage)
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.
(1) An intact, unaltered, easily identifiable plastic identification OOH DNR bracelet, with the word "Texas" (or a representation of the geographical shape of Texas and the word "STOP" imposed over the shape) and the words "Do Not Resuscitate," shall be honored by qualified EMS personnel in lieu of an original OOH DNR ...
Does the form have to be notarized? A notary public can witness the signature of the person filling out the form in lieu of two witnesses. If two witnesses are present, the form does not need to be notarized.
