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State of alaska do not resuscitate

State of alaska do not resuscitate 2025

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The document is a COMFORT ONE© patient certification form used in Alaska, which allows patients with terminal illnesses or permanent unconsciousness to refuse resuscitation. It includes sections for patient and physician information, certification of the patient's status, and instructions for emergency medical services personnel on how to provide comfort care without initiating resuscitation. The form also outlines the process for revocation of the COMFORT ONE status and distribution of copies to relevant parties.

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Click ‘Get Form’ to open the state of Alaska Do Not Resuscitate form in the editor.
Begin by filling in the patient information section. Enter the patient's name, date of birth, address, and gender. Ensure this information is typed or printed clearly for legibility.
In the Certification of Comfort One Status section, confirm that the patient is enrolled as a COMFORT ONE patient. The patient must sign and date this section.
The physician must print their name, sign, and provide their contact number and date in the designated fields to validate the order.
Complete any additional information regarding qualifying conditions and whether the patient has a pacemaker.
Review all sections for accuracy before saving or printing your completed form. Make sure to distribute copies as outlined in the enrollment instructions.

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What is the medical directive in Alaska?

As a competent adult, you have the right to give instructions about your own health care to the extent allowed by law. You also have the right to name someone else to make health care decisions for you to the extent allowed by law. This form lets you do either or both of these things.

What are the requirements to get a DNR?

The requirements for creating a DNR vary from state to state. In California, a DNR order must include the patients name and the date of the order, and must be signed by you (or your healthcare agent) and your physician. The DNR will be entered into your medical records.