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How to use or fill out Do Not Resuscitate Form Edit Fill Create ... - download-app.co with our platform
- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the 'My Directive and My Signature' section. Clearly state your refusal of resuscitation measures and provide your signature along with the date and printed name.
- Next, complete the personal information fields. You can either attach a recent photograph or fill in details such as your date of birth, sex, race, eye color, and hair color.
- In the 'Information About My Doctor and Hospice' section, enter your physician's name and telephone number. If applicable, include the name of your hospice program.
- Ensure that a licensed health care provider signs the form, confirming they have explained its implications to you.
- Finally, have at least one adult witness sign the document. Ensure that this person meets all legal requirements outlined in the instructions.
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