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Click ‘Get Form’ to open the Colorado Medical Orders in the editor.
Begin by filling in the patient's personal information, including Last Name, First Name/Middle Name, Date of Birth, Hair Color, Sex, Eye Color, and Race/Ethnicity. Ensure accuracy as this information is crucial for identification.
In Section A through D, check only one box per section to indicate the desired medical interventions. Carefully review each option: No CPR, Yes CPR, Comfort Measures Only, Limited Additional Interventions, and Full Treatment.
For Section E regarding antibiotics and nutrition/hydration preferences, check all that apply. Provide any additional orders in the designated spaces to clarify specific needs.
Ensure that a health care professional completes the mandatory signature section at the bottom of the form. This includes their name, title, and contact information.
Finally, review all entries for completeness and accuracy before saving or sharing your document. Remember to send this form with the patient whenever they are transferred or discharged.
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Eligible people are low income seniors age 65+ and persons living with a disability, or those who qualify as medically fragile and cannot afford dental care.Read more
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