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Form Details


Form Format
FormatForm Link AddressFunctionalitySize
Adobe PDF   Do Not Resuscitate Confirmation FormThe file you are about to download will ONLY work properly if opened with an Adobe Reader 10 or later client. Please do not open this file in a browser.View Only56.0 kb

Form Classification
Classification / Identification:
 Form Number:014-4519-45Edition date: 2008/01 
 Title:Do Not Resuscitate Confirmation Form
 Ministry:Health and Long-Term Care  
 Branch/ABC:Emergency Health Regulatory and Accountability Branch  
 Program:Emergency Health Services Land/Air  
 Purpose of Form:Used by Health Care Facility Staff and Regulated Health Care Providers  
 Ordering Information:Submit completed order request form (form # 014-0350-93) to OSSDistribution@ontario.ca (preferred option) or fax to 416-679-8192.

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