A Maine Do Not Resuscitate Order (DNR) form is a legal document that allows individuals to express their wishes regarding resuscitation efforts in the event of a medical emergency. This form is crucial for ensuring that healthcare providers respect a person's preferences about life-saving measures. Understanding the implications of a DNR order can empower individuals to make informed decisions about their healthcare.
In Maine, the Do Not Resuscitate (DNR) Order form serves as a critical document for individuals who wish to express their preferences regarding medical treatment in emergency situations. This form allows patients to communicate their desire not to receive cardiopulmonary resuscitation (CPR) if their heart stops beating or if they stop breathing. It is designed to ensure that healthcare providers respect the wishes of patients, particularly those with terminal illnesses or severe medical conditions. The DNR Order must be signed by a licensed physician, and it is important for individuals to discuss their decision with family members and healthcare professionals to ensure everyone understands the implications. Additionally, the form must be readily accessible in case of an emergency, and it can be placed in a visible location, such as on the refrigerator or with other important medical documents. Understanding the DNR Order form is essential for anyone considering this option, as it empowers individuals to make informed choices about their end-of-life care.
This Maine Do Not Resuscitate Order (DNR) template is created in accordance with the relevant state-specific legislation, including but not limited to the Maine Health Care Advance Directive Act. It is designed to inform medical professionals of an individual’s decision not to receive cardiopulmonary resuscitation (CPR) in the event that their breathing stops or their heart stops beating.
To complete this document, please provide the following information:
Emergency Medical Personnel are instructed not to initiate CPR if they find this document presented in conjunction with a valid identification belonging to the aforementioned individual.
The decision for a DNR must be made by the individual or their legally authorized representative. This document should be signed by one of the following:
Signatures:
Individual/Patient: __________________________ Date: _________________
Legally Authorized Representative: __________________________ Date: _________________
Attending Physician: __________________________ Date: _________________ License Number: _________________
This order is valid throughout Maine unless revoked. The individual retains the right to revoke this order at any time. The revocation must be communicated verbally or in writing to the attending physician or medical personnel. Should the individual decide to revoke this DNR order, a new document must be completed and signed.
By completing this Maine Do Not Resuscitate Order, the individual acknowledges their understanding and consent to the terms outlined within. It is recommended that this document be reviewed by legal counsel to ensure comprehensiveness and compliance with Maine law.
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