Printable Do Not Resuscitate Form Colorado Patient s or Authorized Agent s Directive to Withhold Cardiopulmonary Resuscitation CPR This template is consistent with rules adopted by the Colorado State Board of Health at 6 CCR 1015 2 Patient s Information Patient s Name Printed Name
A CPR Directive is often called a Do Not Resuscitate DNR To complete a CPR Directive you will need to talk to your doctor as their signature is required for the document to be valid A CPR Directive may be issued independently or as part of the Medical Orders for Scope of Treatment MOST form A do not resuscitate DNR order form is an order written by a physician to withhold lifesaving measures if a patient goes into cardiac or respiratory arrest Unless a patient has a DNR order on file healthcare personnel will begin cardiopulmonary resuscitation CPR when necessary
Printable Do Not Resuscitate Form Colorado
Printable Do Not Resuscitate Form Colorado
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Choose what is best for you Discuss your values and wishes with your Health Care Agent and important people in your life so they know what kind of care you would want tools below can help guide these conversations Keep your advance directive document ready and available Present it to all your health care providers A do not resuscitate DNR order is used for patients who do not want to be saved if their heart or breathing stops This is generally the case for individuals with late stages of cancer or other advanced medical issues
There are five primary types of advance medical directives 1 Living Wills 2 CPR Orders Do Not Resuscitate Orders 3 Medical Heath Care Power of Attorney 4 Disposition of Last Remains Declarations and 5 Organ and Tissue Donation Declarations An advance medical directive document may incorporate several of these directives Do Not Resuscitate DNR Orders contain direction for medical personnel who might be responsible in treating you if you stop breathing in an emergency situation
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A do not resuscitate DNR order is used by individuals who do not want to be revived if their heart or breathing stops It restricts emergency medical technicians or hospital personnel from attempting to save your life if you go into cardiac arrest or another life threatening emergency Signing Requirements The MOST form travels with a patient as they move from care setting to care setting and carries the weight of formal medical orders Providers are required to honor the wishes outlined in the MOST form Instructions for filling out the form are also included on civhc Part of our Advance Care Planning program the MOST form is an important
Colorado DNR form is a legal document made by a Colorado citizen in which they state the unwillingness to receive any medical resuscitation treatments when dying This form is usually completed by people who are already aware of their current health situation which is typically a terminal illness Free DNR Form Use our Do Not Resuscitate order template to list treatments you want to be withheld if you don t want life saving intervention Outline your health preferences and decisions in your DNR form Templates created by legal professionals Customize your documents quickly easily 24 7 free phone email customer support
9 Sample Do Not Resuscitate Form Templates To Download Sample Templates
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9 Sample Do Not Resuscitate Form Templates To Download Sample Templates
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Patient s or Authorized Agent s Directive to Withhold Cardiopulmonary Resuscitation CPR This template is consistent with rules adopted by the Colorado State Board of Health at 6 CCR 1015 2 Patient s Information Patient s Name Printed Name
https://www.senioranswers.org/legal/advance-directives/medical/cpr/
A CPR Directive is often called a Do Not Resuscitate DNR To complete a CPR Directive you will need to talk to your doctor as their signature is required for the document to be valid A CPR Directive may be issued independently or as part of the Medical Orders for Scope of Treatment MOST form
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9 Sample Do Not Resuscitate Form Templates To Download Sample Templates
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Printable Do Not Resuscitate Form TUTORE ORG Master Of Documents
Free Printable Do Not Resuscitate DNR Order Forms Example
Free Printable Do Not Resuscitate DNR Order Forms Example
Free Printable Do Not Resuscitate DNR Order Forms Example
Free Do Not Resuscitate Order Forms PDF WORD
Do Not Resuscitate Order DNR Or Advance Directive Form Fill Out And Sign Printable PDF
Free Printable Do Not Resuscitate DNR Order Form PDF Word
Printable Do Not Resuscitate Form Colorado - There are five primary types of advance medical directives 1 Living Wills 2 CPR Orders Do Not Resuscitate Orders 3 Medical Heath Care Power of Attorney 4 Disposition of Last Remains Declarations and 5 Organ and Tissue Donation Declarations An advance medical directive document may incorporate several of these directives
