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Acknowledgment of Receipt for Advance Directives - DIGITAL FORM

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$110.00
SKU: 3128E
$110.00

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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


 

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*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).  After 1- year, your update subscription will automatically renew.

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