State Form 49559 Out of Hospital Do Not Resuscitate Declaration and Order - Indiana

State Form 49559 Out of Hospital Do Not Resuscitate Declaration and Order - Indiana

What Is State Form 49559?

This is a legal form that was released by the Indiana Department of Homeland Security - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 49559?
A: Form 49559 is the Out of Hospital Do Not Resuscitate Declaration and Order used in Indiana.

Q: What is the purpose of Form 49559?
A: The purpose of Form 49559 is to allow individuals to express their desire to not be resuscitated in the event of a medical emergency outside of a hospital setting.

Q: Who can use Form 49559?
A: Any adult of sound mind in Indiana can use Form 49559 to declare their do not resuscitate (DNR) wishes.

Q: Is Form 49559 legally binding?
A: Yes, if properly completed and signed, Form 49559 is legally binding in Indiana.

Q: What does it mean to be 'do not resuscitate'?
A: Being 'do not resuscitate' means that in the event of cardiac or respiratory arrest, medical professionals will not perform CPR or other life-sustaining measures.

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Form Details:

  • Released on September 1, 2011;
  • The latest edition provided by the Indiana Department of Homeland Security;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of State Form 49559 by clicking the link below or browse more documents and templates provided by the Indiana Department of Homeland Security.

Download State Form 49559 Out of Hospital Do Not Resuscitate Declaration and Order - Indiana

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  • State Form 49559 Out of Hospital Do Not Resuscitate Declaration and Order - Indiana, Page 1
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