DNR Policy

DNR Policy - Microsoft Word Document

Adult
With Capacity
Form #1
Therapeutic Exception
Form #2
Without Capacity
Form #3
Oral
Consent
#1A
Written
Consent
#1B
No Prior
Consent
Prior
Consent
#2 & Copy
Prior
Consent
#3 & Copy
No Prior
Consent
With Health
Care Agent
#2 & #4
With
Surrogate
#2 & #5
Without
Surrogate
#2 & #6
With Health
Care Agent
#3 & #4
With
Surrogate
#3 & #5
Without
Surrogate
#3 & #6

Minor
With
Capacity
Form #7 & #1
Without
Capacity
Form #7