C.R.S. Section 15-18.7-103
Medical orders for scope of treatment forms

  • form contents

(1)

A medical orders for scope of treatment form must include the following information concerning the adult whose medical treatment is the subject of the medical orders for scope of treatment form:

(a)

The adult’s name, date of birth, and sex;

(b)

The adult’s eye and hair color;

(c)

The adult’s race or ethnic background;

(d)

If applicable, the name of the hospice program in which the adult is enrolled;

(e)

The name, address, and telephone number of the adult’s physician, advanced practice registered nurse, or physician assistant;

(f)

The adult’s signature or mark or, if applicable, the signature of the adult’s authorized surrogate decision-maker;

(g)

The date upon which the medical orders for scope of treatment form was signed;

(h)

The adult’s instructions concerning:

(I)

The administration of CPR;

(II)

Other medical interventions, including but not limited to consent to comfort measures only, transfer to a hospital, limited intervention, or full treatment; and

(III)

Other treatment options;
(i)
The signature of the adult’s physician, advanced practice registered nurse, or physician assistant.

Source: Section 15-18.7-103 — Medical orders for scope of treatment forms - form contents, https://leg.­colorado.­gov/sites/default/files/images/olls/crs2023-title-15.­pdf (accessed Oct. 20, 2023).

Green check means up to date. Up to date

Current through Fall 2024

§ 15-18.7-103’s source at colorado​.gov