DNR Form

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DNRForm

Please fill out the following form before your scheduled appointment.

Authorization for Treatment in the Event of a Life Threatening Emergency

In the event my pet experiences a cardiac, respiratory or other life-threatening emergency that requires resuscitative or other urgent measures, such as cardiopulmonary resuscitation (CPR), positive pressure ventilation, emergency drugs, or other similar measures, I request that the Veterinarians and/or staff at Cobb Vet Clinic pursue such medical care as indicated below.

Phone Numbers where you can be reached today

(Must be 18 years of age or older)

THANK YOU FOR TRUSTING US WITH YOUR PET’S CARE.