Dnr

 Do Not Resuscitate Request - DNR
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State:
Multi-State
Control #:
US-PRM-12
Instant Download
Available formats: Word | Rich Text

Description dnr form printable

This is a form initiated by a patient requesting that he/she not be resuscitated should he/she stop breathing or should his/her heart stop beating. This form is also to be signed by a physician attesting to patient's wishes and to be placed in the patient's file.

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