New Mexico EMS DNR Order Instructions
This document provides detailed instructions for the New Mexico Emergency Medical Services Do Not Resuscitate (DNR) Order. It outlines the purpose, applicability, and revocation processes related to the DNR Order. Ensure that you follow the specified guidelines to complete the form appropriately.
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How do I fill this out?
Filling out the New Mexico EMS DNR Order requires clear understanding of the instructions provided. Ensure that you have the necessary documentation and consent before proceeding. Follow the step-by-step guidance to ensure accurate completion of the form.

How to fill out the New Mexico EMS DNR Order Instructions?
1
Consult with your physician or healthcare provider.
2
Understand the full implications of the DNR Order.
3
Complete the form with the required signatures.
4
Keep a signed copy with you in a readily accessible location.
5
Notify your physician if you decide to revoke the Order.
Who needs the New Mexico EMS DNR Order Instructions?
1
Individuals with terminal illnesses requiring limited care.
2
Elderly patients who wish to specify care preferences.
3
Patients with severe chronic conditions wanting more control.
4
Minors requiring DNR Order through authorized guardians.
5
Caregivers assisting patients needing such arrangements.
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What are the instructions for submitting this form?
To submit the New Mexico EMS DNR Order, ensure that you have obtained all necessary signatures. You can email the completed document to your healthcare provider or fax it to the designated medical facility. Physical copies should be retained and shared with emergency responders, ensuring they are aware of the DNR Order in case of an emergency.
What are the important dates for this form in 2024 and 2025?
Keep in mind that there may not be specific dates associated with using the EMS DNR order, but it's crucial to keep your documentation updated regularly. Always confer with your physician to ensure your wishes are accurately conveyed. The form should be reviewed periodically, especially during significant health changes.

What is the purpose of this form?
The purpose of the New Mexico EMS DNR Order is to clearly communicate a patient's wishes regarding resuscitation efforts in emergency medical situations. This form enables individuals to express their preferences for medical care, ensuring that emergency medical services respect those wishes. It is an essential advance directive for anyone looking to take control of their end-of-life care options.

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

- 1. Patient Information: Details about the patient, including name and contact information.
- 2. Decision Maker Information: Contact details and identification of the authorized health care decision maker.
- 3. Physician Information: Name and signature of the physician overseeing the DNR Order.
- 4. Durable Power of Attorney: Indicates whether the patient has a durable power of attorney.
- 5. Signature Section: Area for all parties to sign and affirm their understanding.
What happens if I fail to submit this form?
Failure to submit the New Mexico EMS DNR Order can lead to unintentional resuscitation efforts that are contrary to the patient's wishes. Without this document, medical personnel may be compelled to perform emergency interventions. Therefore, it's vital to ensure that the form is properly filled out and presented to relevant healthcare providers.
- Informed Consent: Emergency responders may not be aware of the patient's wishes.
- Unwanted Medical Intervention: Patients may face unwanted resuscitative efforts.
- Legal Complications: Without the order, there may be liability issues for caregivers.
How do I know when to use this form?

- 1. Terminal Illness: Patients with terminal conditions wishing to limit interventions.
- 2. Chronic Illness: Individuals with chronic conditions requiring clarity on resuscitation preferences.
- 3. Elderly Individuals: Older patients wanting to outline their end-of-life decisions.
Frequently Asked Questions
What is the New Mexico EMS DNR Order?
It is a legal form that specifies a patient's wishes regarding resuscitation during an emergency.
How do I complete the EMS DNR Order?
Consult your physician and follow the specific instructions on the form.
Can I revoke the DNR Order?
Yes, you can revoke it at any time by notifying your physician.
Who needs to sign the DNR Order?
Both the patient and the physician or their designee must sign the document.
Where should I keep the signed DNR Order?
It should be kept in a readily accessible location for emergency responders.
Can a minor execute a DNR Order?
Yes, but it must be done through an authorized health care decision maker.
How can I obtain a medic alert medallion?
Fill out the form and send it to MedicAlert along with the appropriate fee.
What other medical care is still available?
Patients are still entitled to receive comfort care and other non-resuscitative treatments.
Can I get this form in other languages?
Yes, the form can be requested in English or Spanish.
Is there a cost associated with the DNR form?
The Values History Form has a nominal fee of $3.00.
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