At Speedy Template, You can download Missouri Do Not Resuscitate Form . There are a few ways to find the forms or templates you need. You can choose forms in your state, use search feature to find the related forms. At the end of each page, there is "Download" button for the forms you are looking form if the forms don't display properly on the page, the Word or Excel or PDF files should give you a better reivew of the page.
The Missouri do not resuscitate form is provided by Missouri Department of Health.
OUTSIDE THE HOSPITAL DO-NOT-RESUSCITATE (OHDNR) ORDER
I, _____________________________, authorize emergency medical services personnel to
withhold or withdraw cardiopulmonary resuscitation from me in the event I suffer cardiac or respiratory
arrest. Cardiac arrest means my heart stops beating and respiratory arrest means I stop breathing.
I understand that in the event that I suffer cardiac or respiratory arrest, this OHDNR order will take effect
and no medicalprocedure to restart breathing or heart functioning will be instituted.
I understand this decision will notprevent me from obtaining other emergency medical care and medical
interventions, such as intravenous fluids, oxygen or therapies other than cardiopulmonary resuscitation
such as those deemed necessary to provide comfort care or to alleviate pain by any health care provider
(e.g. paramedics) and/or medical care directed by a physician prior to my death.
I understand I may revoke this order at any time.
I give permission for this OHDNR order to be given to outside the hospital care providers (e.g.
paramedics), doctors, nurses, or other health care personnel as necessary to implement this order.
I hereby agree to the “OutsideTheHospital Do-Not-Resuscitate” (OHDNR) Order.
Speedy Template provides all kinds of legal templates, forms and waivers in different editable formats. Use the template search on the top to find the customized templates that fit your needs with absolutely no cost. Those templates are collected online so we do not claim the ownership of those templates. You can think this website as a legal document search portal and use it to find the printable templates and download them to your local computers and make appropriate adjustments from your end. There is no need to create an account or provide your credit card information. Feel free to download those Word, Excel, PowerPoint or PDF files while we continue to improve this website. Hope you can find those free printable templates useful for business or personal purposes.