HomeResourcesFormsCardiology – Cardio CPR Level Form Cardiology – Cardio CPR Level Form OWNER CONSENT FOR CPR OR DNRDate MM slash DD slash YYYY Client Name: Pet Name Should an emergency occur while your pet is under the care of Las Vegas Veterinary Specialty Center, we must know your wishes for resuscitation so we can take appropriate measures to care for your pet. We place means of resuscitation into two levels; a do not resuscitate order (DNR) means we will not intervene with the natural course of death, in comparison to CPR, in which we perform chest compressions and use drugs to preserve an animal's life. Las Vegas Veterinary Specialty Center professionals understand the bond you have with your pet and wish to do our very best to care for them in your absence while hospitalized. We know that a decision of this magnitude is very difficult but for medical reasons, we must have you, as the owner, choose. I, and/or , as the Owner Agent have reviewed the aforementioned information, and understand the terms of care. I, therefore, choose the following level: DNR: Do Not Resuscitate CPR: Cardiopulmonary ResuscitationOwner/Agent Signature:Date MM slash DD slash YYYY Witness Signature:Date MM slash DD slash YYYY CAPTCHA
