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Code status form 2026
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- Click ‘Get Form’ to open the code status form in the editor.
- Begin by reviewing the introduction, which emphasizes the importance of communicating your resuscitation wishes. This sets the context for filling out the form.
- In the 'Check the Appropriate Choice' section, select one of the options that best reflects your wishes regarding resuscitation: Full Resuscitation, Do Not Resuscitate, Do Not Resuscitate/Palliative Care, or Do Not Intubate. Make sure to read each option carefully.
- If you choose any option other than Full Resuscitation, ensure you understand what treatments may be withheld and what comfort measures will continue.
- Sign and date at the bottom of the form to validate your choices. Ensure that both you and your physician or nurse practitioner sign and date where indicated.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2011 | 4 Satisfied (48 Votes) |
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