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Establish the setting. Ensure comfort and privacy; sit down next to the patient. Ask if family members or others should be present. Introduce the subject with a phrase such as: Id like to talk with you about possible health care decisions in the future.
Step 1 Download the Massachusetts Comfort Care/DNR Order Verification form. Step 2 Enter the patients full name, date of birth, and gender into the indicated fields. Step 3 Next, supply their complete address and full name of their guardian or health care agent (if applicable).
How can I write an advance directive? Use a form provided by your doctor. Write your wishes down by yourself. Call your health department or state department on aging to get a form. Call a lawyer. Use a computer software package for legal documents.
A DNR order may be requested by the patient or from a representative authorized to make medical decisions on their behalf (i.e., surrogate or agent). Furthermore, the order may only be executed if a physician has determined that the patient suffers from a terminal condition.
A do-not-resuscitate order, or DNR order, is a medical order written by a doctor. It instructs health care providers not to do cardiopulmonary resuscitation (CPR) if a patients breathing stops or if the patients heart stops beating.
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These forms are available only to physicians offices or other licensed hospital or healthcare facilities. To purchase DNR and MOST forms, use the DNR and MOST order form: DNR MOST Order Form (PDF, 54 KB)

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