Indiana Do Not Resuscitate Form With Two Points

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

Description

The Indiana Do Not Resuscitate Form is a legal document that allows individuals to indicate their preference regarding resuscitation efforts in out-of-hospital situations. This form serves two primary purposes: it provides clarity on a person's wishes concerning end-of-life medical treatment and it ensures that healthcare providers understand and respect those wishes during emergencies. Key features of the form include the ability for individuals to revoke previous declarations at any time, which gives them control over their medical care. Users must complete the form by providing their signature and printed name along with the date of execution. For attorneys, partners, owners, associates, paralegals, and legal assistants, understanding this form is essential as it supports clients in making informed healthcare decisions. Additionally, this document can be pivotal in discussions about advance care planning, allowing legal professionals to guide clients through the implications of their medical choices effectively.

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

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FAQ

The DNR must be signed by the patient or by the patient's legally recognized health care decision maker if the patient is unable to make or communicate informed health care decisions.

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.

The DNR must be signed by the patient or by the patient's legally recognized health care decision maker if the patient is unable to make or communicate informed health care decisions.

In summary, the minimum requirement in order for a DNR form to be valid is the valid signature and date of the patient, or of their legally recognized healthcare agent in the event that they are incapacitated or otherwise unable to express their wishes. Second, the form must be signed off by the attending physician.

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Indiana Do Not Resuscitate Form With Two Points