Forms
EMS Do Not Resuscitate Order Form
EMS Advance Directives - Form
April 30, 2014
This form is to place a formal Do Not Resuscitate order. For covered persons in cardiac or respiratory arrest, resuscitative measures to be withheld include external chest compressions, intubation, defibrillation, administration of cardiac medications and artificial respiration.
EMS Medical Orders for Scope of Treatment Form
EMS Advance Directives - Form
November 21, 2013
This form should be used by a physician to outline a plan of care respecting the patient’s wishes concerning care at life’s end.