|Classification / Identification:|
| ||Form Number:||014-4519-45||Edition date: ||2008/01 |
| ||Title:||Do Not Resuscitate Confirmation Form|
| ||Ministry:||Health|| || |
| ||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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