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Get and Sign Nevada Do Not Resuscitate Form
Life-resuscitating treatment. I verify that I have informed each member of my immediate family
whose whereabouts are known to me, and/or my legal guardian or caretaker of my decision to apply for a Do-NotResuscitate Identification.
Patient’s Signature:
Date:
B. Agent’s Statement
I am the above named patient’s agent (with durable power of attorney for healthcare decisions pursuant to NRS 449.786
to 449.900, inclusive). The patient does not wish to receive life-resuscitating treatment in the...
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