As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Medical Office Policy and Procedure Manual includes this customizable template, Declaration. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch.

Here is some sample content from Declaration:

	Allows withholding or withdrawal of life-sustaining treatment when the patient has been certified by two physicians to be either in a terminal condition which, without the administration of life-sustaining treatment, will result either in death in a relatively short time or in a permanent unconscious condition, such as an irreversible coma or persistent vegetative state. May be executed at any time by anyone of sound mind who is 18 years or older. Must be witnessed by two individuals, at least one of whom may not be entitled to any portion of the patient's estate. In addition, a...
Second excerpt:
	...practitioner who is furnished a copy of the declaration shall make it part of the medical record. If the patient is a resident of a skilled or long-term care facility at the time the declaration is executed one of the two witnesses must be a patient advocate or ombudsman. A declaration may be revoked at any time without regard to the patient's mental or physical condition. The declaration shall not take effect if the patient is pregnant. A Durable Power of Attorney for healthcare...