Chula Vista California Do Not Resuscitate Request - DNR

State:
Multi-State
City:
Chula Vista
Control #:
US-PRM-12
Format:
Word; 
Rich Text
Instant download

Description

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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Chula Vista California Do Not Resuscitate Request - DNR