Cleveland Clinic DNR Orders and Comfort Care
This document provides essential information about Do Not Resuscitate (DNR) orders and comfort care options available to patients. It explains the implications of DNR orders and outlines the legal framework in Ohio for making these critical healthcare decisions. The resource is vital for patients and families considering end-of-life care choices.
Edit, Download, and Sign the Cleveland Clinic DNR Orders and Comfort Care
Form
eSign
Add Annotation
Share Form
How do I fill this out?
To fill out the DNR order form, start by discussing your healthcare wishes with your physician. Make sure to understand the implications of the options available to you. Once you are informed, you can sign the form in the presence of required witnesses or medical personnel.

How to fill out the Cleveland Clinic DNR Orders and Comfort Care?
1
Discuss your healthcare wishes with your physician.
2
Understand the implications of the options available to you.
3
Complete the DNR order form provided by the healthcare facility.
4
Sign the form in the presence of required witnesses.
5
Keep a copy of the signed form for your records.
Who needs the Cleveland Clinic DNR Orders and Comfort Care?
1
Patients with terminal illnesses who wish to avoid resuscitation.
2
Families needing guidance on end-of-life decisions.
3
Healthcare providers looking to understand DNR protocols.
4
Caregivers who need to be informed about a patient’s wishes.
5
Legal representatives managing healthcare decisions for others.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Cleveland Clinic DNR Orders and Comfort Care along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

Edit your Cleveland Clinic DNR Orders and Comfort Care online.
With PrintFriendly, you can easily edit this PDF to tailor it to your specific needs. Simply upload your document and use the intuitive tools to make any necessary changes. Once you are satisfied with the edits, download or print your customized PDF.

Add your legally-binding signature.
Signing your PDF on PrintFriendly is straightforward and convenient. After editing, simply add your signature using our digital signing tools. Your signed document will be ready for download or printing in seconds.

Share your form instantly.
Sharing your PDF with PrintFriendly is easy and efficient. After finalizing your document, use our sharing options to send it directly via email or social media. Ensure your loved ones or healthcare providers have access to your important documents effortlessly.
How do I edit the Cleveland Clinic DNR Orders and Comfort Care online?
With PrintFriendly, you can easily edit this PDF to tailor it to your specific needs. Simply upload your document and use the intuitive tools to make any necessary changes. Once you are satisfied with the edits, download or print your customized PDF.
1
Upload your PDF document to PrintFriendly.
2
Use the editing tools to make your changes.
3
Preview the document to ensure all edits are accurate.
4
Save or download the edited PDF.
5
Share or print the final document.

What are the instructions for submitting this form?
To submit the DNR order form, ensure all sections are completed and signed. You can submit it directly to your healthcare provider or hospital where you are receiving care. Alternatively, some facilities may offer options for online submission or faxing, so check with your provider for the most convenient method.
What are the important dates for this form in 2024 and 2025?
There are no specific important dates for this DNR order form; it remains valid as per state laws until revoked by the patient.

What is the purpose of this form?
The primary purpose of this form is to formally document a patient's wishes regarding resuscitation efforts. It ensures that healthcare providers respect these wishes in medical emergencies. Furthermore, this form serves to educate patients about their rights and options concerning end-of-life care.

Tell me about this form and its components and fields line-by-line.

- 1. Patient Name: The full name of the individual requesting the DNR order.
- 2. Date of Birth: The birth date of the patient for identification purposes.
- 3. Healthcare Proxy: Information about the appointed healthcare decision-maker.
- 4. Signature: Space for the patient or their legal representative to sign.
- 5. Date of Signature: The date when the DNR order was signed.
What happens if I fail to submit this form?
If the DNR form is not submitted correctly, it may lead to unwanted resuscitation efforts during a medical emergency. It's vital that all sections are completed and signed appropriately.
- Unclear Medical Wishes: Without a submitted form, healthcare providers may not understand a patient's wishes regarding CPR.
- Potential Resuscitation: Failure to submit may result in emergency personnel performing CPR against the patient's desires.
- Legal Implications: Improper submission can lead to legal issues regarding end-of-life care decisions.
How do I know when to use this form?

- 1. Terminal Illness: To document wishes regarding resuscitation efforts for terminally ill patients.
- 2. Surgery Considerations: To clarify resuscitation wishes before undergoing surgical procedures.
- 3. Emergency Situations: To ensure that emergency medical teams respect the patient's wishes.
Frequently Asked Questions
What is a DNR order?
A DNR order, or Do Not Resuscitate order, indicates that a patient does not wish to receive CPR or life-saving treatment.
Who can write a DNR order?
Typically, a DNR order is written by a physician after discussing the patient's wishes.
Can I change my DNR order?
Yes, you can change your DNR order at any time by informing your physician.
What types of DNR orders are available?
There are various types of DNR orders, including DNR Comfort Care and DNR Comfort Care-Arrest.
Where do I keep my DNR order?
It's vital to keep a copy of your DNR order accessible, and inform your family and caregivers of its location.
Will my DNR order be honored outside the hospital?
Yes, state-approved DNR orders remain in effect even outside of healthcare facilities.
What happens if I need surgery?
Your DNR order will be reviewed and may be adjusted based on the surgical procedure.
What if I become healthy again?
You have the right to revoke your DNR order anytime and should notify your doctor.
How does PrintFriendly help with DNR forms?
PrintFriendly allows you to edit, sign, and share your DNR forms easily.
Can I use PrintFriendly to print my DNR order?
Absolutely, you can print your edited and signed DNR order directly from PrintFriendly.
Related Documents - DNR Orders Info

Preparticipation Physical Evaluation Form
The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.

Health Insurance Tax Credits Guide 2015
This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.

TSP-77 Partial Withdrawal Request for Separated Employees
The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.

Ray's Food Place Donation Request Form Details
This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.

Pastoral Ministry Evaluation Form for Board of Elders
This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.

Health Provider Screening Form for PEEHIP Healthcare
This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.

Common Law Marriage Declaration Form for FEHB Program
This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.

MyPRALUENT™ Enrollment Form Instructions and Details
This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.

Application for Certified Copy of Birth Certificate
This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.

Torrance Memorial Physician Network Forms for Patients 18+
This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.

Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone
This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.

Texas Automobile Club Agent Application Form
This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.