Ontario hospitals use the Certificate of Death, Form 1 under Regulation 965 (Hospital Management) of the Public Hospitals Act, when a patient dies in hospital, before the body is released. The attending physician or registered nurse in the extended class records the patient's name, the date and hour of death, and the cause of death in two parts, with the approximate interval between onset and death.
The attending physician or registered nurse in the extended class completes and signs the whole certificate, as the Central Forms Repository description states.
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Certificate of Death - Form 1 (Public Hospitals Act)
Certificat de décès
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The attending physician or a registered nurse in the extended class. The Central Forms Repository describes Form 1 as completed by an attending physician or RN(EC) under section 17(2)(a) of Regulation 965, Hospital Management, made under the Public Hospitals Act.
No. Form 1 is the hospital's certificate under the Public Hospitals Act, completed before the body is released. The Medical Certificate of Death, Form 16, is the Vital Statistics Act form delivered to the funeral director and used to register the death and issue a burial permit.
State the disease, injury or complication that caused death as the immediate cause, not the mode of dying, then list the conditions that led to it in order backwards. Give the approximate interval between onset and death for each, and add other contributing conditions in Part II.