Attorney-Approved Alaska Do Not Resuscitate Order Template

1. Incomplete Information: One common mistake is leaving out essential details. Individuals often forget to include their full name, date of birth, or medical record number. Missing this information can lead to confusion and may delay the implementation of the order.

2. Not Having a Witness: The Alaska Do Not Resuscitate Order form requires a witness signature. Some people overlook this requirement, thinking that their signature alone is sufficient. Without a witness, the order may not be considered valid.

3. Incorrect Signatures: Sometimes, individuals sign the form without the necessary authority. For example, a family member may sign on behalf of the patient without proper legal standing. This can invalidate the order and create complications in emergency situations.

4. Failure to Update the Form: Life circumstances change, and so do medical preferences. People often forget to update their Do Not Resuscitate Order when their health status or wishes change. An outdated form may not reflect the individual's current desires.

Detailed Steps for Filling Out Alaska Do Not Resuscitate Order

Filling out the Alaska Do Not Resuscitate Order form is an important step in ensuring that your healthcare preferences are respected. This form allows individuals to express their wishes regarding resuscitation efforts in a medical emergency. By completing this document, you can provide clear guidance to your healthcare providers and loved ones.

1. Obtain the Alaska Do Not Resuscitate Order form. You can find it online or request a copy from your healthcare provider.
2. Begin by filling in your personal information, including your full name, date of birth, and address. This information helps identify you as the individual making the request.
3. Next, indicate the date on which you are completing the form. This is important for ensuring that your wishes are current and valid.
4. Designate a healthcare agent if desired. This person will be responsible for making medical decisions on your behalf if you are unable to do so.
5. Clearly state your wishes regarding resuscitation. There will be options to choose from, such as whether you want resuscitation efforts to be made or not.
6. Sign and date the form. Your signature confirms that you understand the implications of your choices.
7. Have the form witnessed by two individuals who are not related to you or your healthcare agent. Their signatures will validate your request.
8. Keep a copy of the completed form for your records and provide copies to your healthcare providers and loved ones.

Once you have filled out the form, ensure that it is easily accessible to those who may need to refer to it in a medical situation. Sharing your wishes with family and healthcare providers can help prevent confusion and ensure that your preferences are honored.

When filling out the Alaska Do Not Resuscitate Order form, it's essential to follow specific guidelines to ensure that your wishes are clearly communicated. Here is a list of things you should and shouldn't do:

• Do consult with your healthcare provider before completing the form.
• Do ensure that the form is signed by you and your physician.
• Do keep a copy of the completed form for your records.
• Do inform family members about your decision and the location of the form.
• Do review the form regularly to ensure it still reflects your wishes.

• Don't use the form without understanding its implications.
• Don't leave the form unsigned or incomplete.
• Don't forget to update the form if your health status changes.
• Don't assume that healthcare providers will know your wishes without the form.