Indiana Do Not Resuscitate Form With Signature
Description
How to fill out Indiana Revocation Of Out Of Hospital - Do Not Resuscitate Declaration - DNR?
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FAQ
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.
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.
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.
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.
The patient's physician must approve of a DNR, confirming the patient's condition by signing the DNR form. Aside from the patient's and physician's signatures, two (2) witnesses are required to make a DNR order valid. Required to Sign ? Patient, physician and two (2) witnesses.
