REGULATIONS
Vol. 27 Iss. 23 - July 18, 2011

TITLE 12. HEALTH
STATE BOARD OF HEALTH
Chapter 66
Forms

NOTICE: The following form used in administering the regulation was filed by the agency. The form is not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of the new or amended form to access it. The form is also available through the agency contact or at the Office of the Registrar of Regulations, General Assembly Building, 2nd Floor, Richmond, Virginia 23219.

Title of Regulation: 12VAC5-66. Regulations Governing Durable Do Not Resuscitate Orders.

Agency Contact: Michael D. Berg, Manager, Regulation and Compliance, Office of Emergency Medical Services, Department of Health, 1041 Technology Park Drive, Glen Allen, VA 23059, telephone (804) 888-9131, FAX (804) 317-3409, or email michael.berg@vdh.virginia.gov.

FORMS (12VAC5-66)

Durable Do Not Resuscitate Order Form, eff. 3/02.

Durable Do Not Resuscitate Order - Virginia Department of Health, EMS-7105 (eff. 6/11).

VA.R. Doc. No. R11-2902; Filed June 28, 2011, 3:20 p.m.