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The Arizona Do Not Resuscitate (DNR) Order form serves as a crucial document for individuals who wish to express their preferences regarding resuscitation efforts in the event of a medical emergency. This form is particularly significant for patients with terminal illnesses or those facing severe health challenges, as it allows them to communicate their wishes clearly to healthcare providers. The DNR Order outlines specific instructions regarding cardiopulmonary resuscitation (CPR) and other life-sustaining treatments. It is important for individuals to understand that this form must be signed by a physician and can be revoked at any time by the patient. Additionally, the Arizona DNR Order is recognized by all healthcare facilities and emergency medical services throughout the state, ensuring that a patient's wishes are honored. By completing this form, individuals can take an active role in their end-of-life care decisions, providing peace of mind for themselves and their loved ones.
Similar forms
Advance Healthcare Directive: This document allows individuals to outline their healthcare preferences in advance, particularly regarding end-of-life care. Like a DNR, it provides guidance to medical professionals when a patient cannot communicate their wishes.
Power of Attorney: A Power of Attorney form allows individuals to appoint someone to manage their financial, legal, or health-related decisions when they can’t do so themselves. This essential document can be further explored at OnlineLawDocs.com.
Living Will: A living will specifies what medical treatments an individual does or does not want in situations where they are unable to express their wishes. Similar to a DNR, it focuses on the individual's desires concerning life-sustaining measures.
Healthcare Power of Attorney: This document designates someone to make medical decisions on behalf of an individual if they become incapacitated. It complements a DNR by ensuring that someone can advocate for the patient's wishes regarding resuscitation and other treatments.
Physician Orders for Life-Sustaining Treatment (POLST): POLST is a medical order that outlines a patient’s preferences for treatments, including resuscitation. Like a DNR, it is intended to guide healthcare providers in emergency situations.
Do Not Intubate (DNI) Order: A DNI order specifically states that a patient should not be intubated if they are unable to breathe on their own. This document is similar to a DNR in that it reflects the patient’s wishes regarding life-saving interventions.
Guidelines on Writing Arizona Do Not Resuscitate Order
Completing the Arizona Do Not Resuscitate Order form is an important step in ensuring your healthcare preferences are honored. This form allows you to communicate your wishes regarding resuscitation in a clear and legally recognized manner. Follow these steps carefully to ensure the form is filled out correctly.
- Obtain the Arizona Do Not Resuscitate Order form. You can find this form online or through healthcare providers.
- Read the instructions provided with the form to understand the requirements and implications.
- Fill in your full name, date of birth, and address at the top of the form.
- Designate a healthcare representative if desired. This person will help ensure your wishes are followed.
- Clearly indicate your wishes regarding resuscitation by checking the appropriate box. Ensure that this decision aligns with your values and preferences.
- Sign and date the form. This step is crucial, as your signature validates the document.
- Have the form witnessed by two individuals who are not related to you and who do not stand to gain from your estate.
- Keep a copy of the completed form for your records and provide copies to your healthcare provider and designated representative.
After completing the form, it's essential to discuss your decisions with your family and healthcare providers. Open communication ensures that everyone understands your wishes and can act accordingly in the event of a medical emergency.
File Information
| Fact Name | Description |
|---|---|
| Purpose | The Arizona Do Not Resuscitate (DNR) Order form allows individuals to refuse resuscitation in case of cardiac arrest or respiratory failure. |
| Governing Law | The DNR Order is governed by Arizona Revised Statutes § 36-3201 to § 36-3207. |
| Eligibility | Any adult can complete a DNR Order, provided they are of sound mind and understand the implications. |
| Signature Requirements | The form must be signed by the individual or their legal representative, along with a physician's signature. |
| Form Availability | The DNR Order form is available through healthcare providers, hospitals, and state health department websites. |
| Revocation | Individuals can revoke a DNR Order at any time, either verbally or in writing. |
| Emergency Medical Services | Emergency medical personnel must honor a valid DNR Order presented at the scene. |
| Storage and Access | It is recommended to keep the DNR Order in a visible location, such as on the refrigerator or with other important documents. |
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