Ontario's Ministry of Health issues the Do Not Resuscitate Confirmation Form to confirm that a do-not-resuscitate order exists. The Central Forms Repository describes it as used by health care facility staff and regulated health care providers. It is a controlled, serialized form with no downloadable copy: the ministry provides it by special request through its form order process.
A regulated health care provider completes the whole form. The repository lists health care facility staff and regulated health care providers as the people who use it.
Download the current version from the source each time; forms change without notice.
Do Not Resuscitate Confirmation Form
Formulaire de confirmation d'ordonnance de ne pas réanimer
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It is not available as a download. The Central Forms Repository says the form is provided by special request: complete the Form Order Request (014-0350-93) and email it to the ministry's distribution service, as the repository page directs, and the controlled forms are supplied from there.
The Ministry of Health's repository entry says it is used by health care facility staff and regulated health care providers. It confirms that a do-not-resuscitate order exists, and the regulated health care provider completes the whole form.
Yes. The form exists in English and French, and the French title is Formulaire de confirmation d'ordonnance de ne pas réanimer. Both are obtained the same way, through the Form Order Request (014-0350-93), because neither version is posted for download.