Application for do-not-resuscitate identification: Form; requirements. Except as otherwise provided in NRS 450B.525:
1. A qualified patient may apply to the health authority for a do-not-resuscitate identification by submitting an application on a form provided by the health authority. To obtain a do-not-resuscitate identification, the patient must comply with the requirements prescribed by the board and sign a form which states that he has informed each member of his family within the first degree of consanguinity or affinity, whose whereabouts are known to him, or if no such members are living, his legal guardian, if any, or if he has no such members living and has no legal guardian, his caretaker, if any, of his decision to apply for an identification.
2. An application must include, without limitation:
(a) Certification by the patient’s attending physician that the patient suffers from a terminal condition;
(b) Certification by the patient’s attending physician that the patient is capable of making an informed decision or, when he was capable of making an informed decision:
(1) He executed:
(I) A written directive that life-resuscitating treatment be withheld under certain circumstances; or
(II) A durable power of attorney for health care pursuant to NRS 449.800 to 449.860, inclusive; or
(2) He was issued a do-not-resuscitate order pursuant to NRS 450B.510;
(c) A statement that the patient does not wish that life-resuscitating treatment be undertaken in the event of a cardiac or respiratory arrest;
(d) The name, signature and telephone number of the patient’s attending physician; and
(e) The name and signature of the patient or the attorney-in-fact who is authorized to make health care decisions on the patient’s behalf pursuant to a durable power of attorney for health care.
Last modified: February 26, 2006