Acknowledgment of Receipt for Advance Directives - DIGITAL FORM
Electronically Delivered eForm* - Available Now – Subscribe Today!
Briggs Digital forms:
-Updates included with annual subscription
-Form-fillable PDF documents at your fingertips
-Easy to complete on any device
Document that the resident/legal representative has been informed in writing, in a language understood by the resident/legal representative, of his/her rights and receipt of such documents for placement in the medical record.
Is also provides for the resident/legal representative to choose not to formulate Advance Directives and request effort to prolong life/provide life-sustaining treatment.
Includes:
•Living Will
•DNR
•DNH
•POLST/MOLST or POST/MOST (acronym depends on state designation) Organ Donation
•Autopsy Request
•Medication or Other Treatment Restrictions
•Tube Feeding wishes
•Intubation/Ventilator wishes
•Other Advance Directives
Download sample today!License Agreement
Send completed License Agreements toCustomerSupport@BriggsCorp.com
*SUBSCRIPTION: Form access is licensed for 1-year per agency/facility location. Multiple sites require a quote. This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment) and provide the facility/agency address. After 1- year, your subscription will automatically renew.
All Briggs Digital on Demand products require a credit card payment (or pre-payment) to receive digital files electronically.
Briggs Healthcare does not allow use of any of its intellectual property without a valid license and payment of fees.
Delivery: Digital*
Digital/electronic merchandise & subscriptions: all digital and electronic products and subscriptions are non-refundable and non-returnable.
*SUBSCRIPTION: Form access is licensed for 1-year per agency/facility location. Multiple sites require a quote. This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment) and provide the facility/agency address. After 1- year, your subscription will automatically renew.
All Briggs Digital on Demand products require a credit card payment (or pre-payment) to receive digital files electronically.
Briggs Healthcare does not allow use of any of its intellectual property without a valid license and payment of fees.