Dnr form kansas

How to Get an Advance Directive (5 steps) Step 1 – Select an Agent Step 2 – Decide the Powers Step 3 – Choose End-of-Life Options Step 4 – Sign Step 5 – Register Step 1 – Select an Agent. This is often referred to as the medical power of attorney portion that requires the principal to select an agent to represent their healthcare decisions. The …

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Jul 19, 2023 · Kansas Do Not Resuscitate (DNR) Order Form. Create a high quality document now! A Kansas do not resuscitate (DNR) order form is a document stating a person’s decision not to have any resuscitative procedures administered by medical personnel should their heart or breathing stop.

A do-not-resuscitate order (DNR), also known as Do Not Attempt Resuscitation (DNAR), Do Not Attempt Cardiopulmonary Resuscitation (DNACPR), no code or allow natural death, is a medical order, written or oral depending on the jurisdiction, indicating that a person should not receive cardiopulmonary resuscitation (CPR) if that person's heart stops …Apr 1, 2023 ... Before not performing Cardiopulmonary Resuscitation or CPR, a DNR document should already exist. Download these do not resuscitate forms.Health care providers may honor a legible copy of any of the three paged revised DDNR form - the patient copy, medical record copy, or DDNR jewelry copy all may be honored. It is recommended that all photocopies of DDNR forms, of any type, be of actual size. Do Not Resuscitate Orders in Kansas. Kansas offers a fill-in-the-blank form DNR form.Understanding DNR Orders. Do not resuscitate (DNR) orders tell hospital staff not to do potentially life-restoring measures, such as CPR, if you or your loved one's heart and lungs stop working. It allows a natural death. And it prevents healthcare staff from artificially reviving a person and placing them on life support.• DNR means, “Do Not Resuscitate,” or, do not attempt to restart a heart or breathing once they have stopped. • Generally, for paramedics and EMTs to honor a patient’s wishes not to have CPR or other resuscitative efforts, a properly completed field DNR form must be present. 2. A list of license vendors, organized by county, is available at the link below. We suggest you call the vendor to ensure they are open for business, since some vendors operate seasonally. Toll Free Telephone: 1-833-587-2164, hours are 6am - 9pm. Locations to buy Licenses/Permits by County. 3. Instruct patient and/or caregivers as to the use of the Out-of-Hospital DNR Order Form and as to the appropriate means of displaying the Out-of-Hospital DNR Form, i.e. placed prominently in the home in areas such as the patient's headboard, bedstand, bedroom door or refrigerator. 4.

There are currently two types of DNR orders: 1) "DNR Comfort Care," and 2) "DNR Comfort Care - Arrest." Upon the issuance of either order, standard forms of identification are provided for in OAC rule 3701-62-04. Individual's may use the DNR Order form as identification, a necklace, a bracelet, a wallet card, or a hospital type bracelet.Please call for an appointment to use the notary public services. 316-686-7172 Forms must be signed in front of the notary public. If you have more questions regarding Kansas Advance Directives please visit our FAQs page. This is a downloadable document). FAQ is Spanish available. A summary of advance directives recognized in Kansas:Jul 19, 2023 · Kansas Do Not Resuscitate (DNR) Order Form. Create a high quality document now! A Kansas do not resuscitate (DNR) order form is a document stating a person’s decision not to have any resuscitative procedures administered by medical personnel should their heart or breathing stop. Cloned 114. A Do Not Resuscitate (DNR) Form is a medical form written by a doctor that gives their consent to not resuscitate their patient if their patient’s heart stops beating. For medical professionals and practices looking for a DNR form that’s both easy-to-customize and professional, Jotform has you covered.

Description Dnr Form. This is a form initiated by a patient requesting that he/she not be resuscitated should he/she stop breathing or should his/her heart stop beating. This form is also to be signed by a physician attesting to patient's wishes and to be placed in the patient's file.Contact Info. Phone (785) 296-4219 901 S Kansas Ave. Topeka, KS 66612. Office Email: [email protected] Twitter: @KansasEthics Pre-Hospital DNR Request Form An advanced request to Limit the Scope of Emergency Medical Care K.S.A. 65-4942 I, _____, request limited emergency care as herein described. I understand DNR means that if my heart stops beating or if I stop breathing, no medical procedure toComply with our easy steps to get your KS Pre-Hospital Do Not Resuscitate (DNR) Request Form ready quickly: Pick the web sample in the library. Enter all necessary information in the required fillable fields. The intuitive drag&drop user interface makes it simple to add or relocate areas. Make sure everything is filled in correctly, with no ... • DNR means, “Do Not Resuscitate,” or, do not attempt to restart a heart or breathing once they have stopped. • Generally, for paramedics and EMTs to honor a patient’s wishes not to have CPR or other resuscitative efforts, a properly completed field DNR form must be present. 2. (c) "do not resuscitate order" or "DNR order" means instruction by the physician or physician assistant who is responsible for the care of the patient while admitted to a medical care facility licensed pursuant to K.S.A. 65-429, and amendments thereto, or an adult care home licensed pursuant to K.S.A. 39-928, and amendments thereto;

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The Arizona do not resuscitate (DNR) order form is for any individual who do not wish to be brought back to life in the event they stop breathing, or if a medical professional notices a lack of cerebral activity. Resuscitation includes, but is not limited to, CPR, cardiac compressions, defibrillation, and artificial ventilation.want cardiopulmonary resuscitation or CPR. This first order box on the POLST form is where it will say “Yes CPR” meaning that you want CPR attempted or “No CPR” meaning that you do not want CPR attempted. Having a POLST Form that says “No CPR” in Section A means it is a do-not-resuscitate, or DNR, order.Read this complete Kansas Statutes Chapter 65. Public Health § 65-4941. Do not resuscitate orders or directives; definitions on Westlaw. FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it ...How to Get an Advance Directive (5 steps) Step 1 – Select an Agent Step 2 – Decide the Powers Step 3 – Choose End-of-Life Options Step 4 – Sign Step 5 – Register Step 1 – Select an Agent. This is often referred to as the medical power of attorney portion that requires the principal to select an agent to represent their healthcare decisions. The …

KDWP cannot honor requests to provide “rush” service for open records requests. CLERICAL SERVICES – $15/hour. INFORMATION TECHNOLOGY (IT) SERVICES – $25/hour. LEGAL SERVICES – $35.00/hour. Fishing Licenses may be purchased online, from all our licensed agents, any Kansas Department Wildlife and Parks office or call 1-833-587-2164. Anglers age 16 through 74, who have been bona fide residents of the state for 60 days immediately prior to buying a license, must have a resident license in possession while fishing in Kansas.What is a hospital DNR? Under a hospital DNR , the physician issues the DNR when you are in the hospital or a nursing home after you or your surrogate have given verbal or written consent to having a DNR in place. If verbal consent was given, it must be witnessed by 2 adults, 1 of whom must be a doctor in the facility where you are admitted. Fields Managed Specifically for Dove Hunting Now Open. For Immediate Release:September 1, 2022 Contact: Nadia Marji CMP®, Chief of Public Affairs (785) [email protected] Fields Managed Specifically for Dove Hunting Now OpenKansas City, Kan. – The 2022 Kansas dove hunting season has officially begun and quality …Dnr form kansas. Strathbane wikipedia! Calo ponte atento con letra. Growing white tea at home. Css modules browserify. Serenata napoletana canzoni. Us immigration points system? Pistas de autos de cars. Risky business seafood. Nabin k bhattarai songs kripa unplugged. Telelink computer. Wind turbine technician salary in texas.We used a survey to determine the prevalence of do-not-resuscitate (DNR) guidelines and protocols, and opinions related to cardiopulmonary resuscitation (CPR) in facilities that provide long-term care (LTC) in Ontario. Questionnaires completed by 357 of 474 facilities providing LTC, revealed that mo …Printable Forms/Resources ; Volunteer Information Form Application ; Monthly Report Form ... More than 775 volunteers throughout the State of Kansas serving 1,285 individuals. Through their volunteerism, Kansans play an integral role in the inclusion of marginalized and vulnerable fellow community members.To get either type of bracelet, the attending health care provider must complete form, Emergency Care DNR Order, F-44763. Plastic DNR bracelets. The plastic DNR bracelet is free. It looks like a hospital identification band. You get a plastic DNR bracelet from the attending health care provider. The band has an official insert that …Forms · Calendar · Change of Address Request · Complaints · Disciplinary Action ... Kansas EMS Certification. Do you have questions about EMS certification in ...Comply with our easy steps to get your KS Pre-Hospital Do Not Resuscitate (DNR) Request Form ready quickly: Pick the web sample in the library. Enter all necessary information in the required fillable fields. The intuitive drag&drop user interface makes it simple to add or relocate areas. Make sure everything is filled in correctly, with no ...(c) "do not resuscitate order" or "DNR order" means instruction by the physician or physician assistant who is responsible for the care of the patient while admitted to a medical care …State Form 55317 (R2 / 12-16) Indiana State Department of Health – IC 16-36-6 INSTRUCTIONS: This form is a physician’s order for scope of treatment based on the patient’s current medical condition and preferences. The POST should be reviewed whenever the patient’s condition changes. A POST form is voluntary. A

Health care providers may honor a legible copy of any of the three paged revised DDNR form - the patient copy, medical record copy, or DDNR jewelry copy all may be honored. It is recommended that all photocopies of DDNR forms, of any type, be of actual size. Do Not Resuscitate Orders in Kansas. Kansas offers a fill-in-the-blank form DNR form.

Section 7 AAC 16.010 - Do-not-resuscitate protocol (a) This section, and the Physician Orders for Life Sustaining Treatment (POLST) Program, adopted by reference in 7 AAC 16.020, establish the do-not-resuscitate (DNR) protocol for physicians and other health care providers to withhold cardiopulmonary resuscitation under AS 13.52.065.The …A list of license vendors, organized by county, is available at the link below. We suggest you call the vendor to ensure they are open for business, since some vendors operate seasonally. Toll Free Telephone: 1-833-587-2164, hours are 6am - 9pm. Locations to buy Licenses/Permits by County.2 3 >> View All Page 1 of 3 Updated Order Form 2021 orderform.pdf Size: 100 KB Order form for bulk orders View Download Email Read More DNR in Red DNR in red.pdf Size: 41 KB This DNR is printed in red. View Download Email Healthcare Power of Attorney Durable power of attorney.pdf Size: 91 KBThe number of campsites available for reservation will vary by park – in most parks about half of the sites can be reserved. The rest will be available on a first-come, first-served basis. Shelter and group campground reservations can be made through the park office where the facilities are located. When camping is allowed at a state fishing ...Contact Info. Phone (785) 296-4219 901 S Kansas Ave. Topeka, KS 66612. Office Email: [email protected] Twitter: @KansasEthicsKansas Department of Health & Environment 1000 SW Jackson Street Topeka, KS 66612 Email ... Find the most requested Laboratory forms. Skip to Main Content.A do-not-resuscitate (DNR) order is a legally recognized order signed by a physician at a patient’s request. A DNR means the patient not want to be resuscitated if they suddenly go into cardiac arrest or stop breathing. People who are terminally ill often regard a DNR as a graceful way to leave the world on their terms.Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease. Usually, patients survive for approximately 2–4 years after the onset of the disease, and they often die of respiratory failure. This study examined the factors associated with signing a “do not resuscitate” (DNR) form in patients with ALS. This cross-sectional study included …

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No, no, and no. Below is another example of a form that can be used. It is a bit simpler than the one above. The hot pink form in the first photo is a TPOPP form. It is for Kansas and Missouri. TPOPP stands for Transportable Physician Orders for Patient Preferences. It has 4 areas and allows you to outline your wishes about CPR (do it or don't ...304, ‘A’ Wing, Queen’s Corner, # 3, Queens Road, Bengaluru – 560 001, Karnataka, India. Your dream real estate project is a soon-to-be reality with DNR group, the top builders in Bangalore. Escape into the world of elite landholdings with the top real estate developers in Bangalore, establishing the best-in-class rising infrastructures.The Judicial Council does NOT provide free forms for establishing a guardianship or conservatorship. However, forms for decedent's estates, guardianship and conservatorship, and care and treatment are contained in the Kansas Judicial Council Probate Forms 3d publication. Kansas lawyers registered as active under S. Ct. Rule 208 may access these ...Advance Directives, Power of Attorney for Healthcare, Living Will, and Pre-hospital do not resuscitate (DNR) request forms as downloadable links from Kansas Legal Services and the Wichita Medical Research and Education Foundation. (Some materials also available in Spanish)A kansas do not resuscitate form 1 is a pdf form that can be filled out, edited or modified by anyone online. PDF (Portable Document Format) is a file format that captures all the elements of a printed document as an electronic image that you can view, navigate, print, or forward to someone else.Article 49. - HEALTH CARE PROVIDERS. Next. 65-4943. Same; requirements of form. A "do not resuscitate" directive shall be: (a) In writing; (b) signed by the person making the declaration, or by another person in the declarant's presence and by the declarant's expressed direction; (c) dated; and (d) signed in the presence of a witness who is at ...This paper will examine the provision of DNR or do not resuscitate order, discussing its inherent ethical issues, as well as the application of various course learning outcomes in the issue under discussion. The dawn of the provision of the DNR order enhanced the examination of ethics in medicine. The DNR order states that medical …Yes, under the guardianship, you have the authority to execute a DNR on behalf of the ward with the following requirements: The guardian must visit the ward 14 days before the guardian can legally execute a DNR on behalf of the ward, and the guardian must attempt to discuss the DNR order with the ward if meaningful communication with the ward ...Forms and Publications. Personal Tax Forms. Business Tax Forms. Vehicle Forms. Alcoholic Beverage Control Forms. Property Valuation Forms. Official Website of the Kansas Department of Revenue.Yes, under the guardianship, you have the authority to execute a DNR on behalf of the ward with the following requirements: The guardian must visit the ward 14 days before the guardian can legally execute a DNR on behalf of the ward, and the guardian must attempt to discuss the DNR order with the ward if meaningful communication with the ward ...Health care providers may honor a legible copy of any of the three paged revised DDNR form - the patient copy, medical record copy, or DDNR jewelry copy all may be honored. It is recommended that all photocopies of DDNR forms, of any type, be of actual size. Do Not Resuscitate Orders in Kansas. Kansas offers a fill-in-the-blank form DNR form.Complete KS Pre-Hospital Do Not Resuscitate (DNR) Request Form 2020-2022 online with US Legal Forms. Easily fill out PDF blank, edit, and sign them. hospital do not … ….

Kansas, which became a part of the United States through the Louisiana Purchase, was the birthplace of President Dwight D. Eisenhower and Amelia Earhart and is the home of Pizza Hut, the helicopter and the rotary-dial telephone.Description Dnr Form. This is a form initiated by a patient requesting that he/she not be resuscitated should he/she stop breathing or should his/her heart stop beating. This form is also to be signed by a physician attesting to patient's wishes and to be placed in the patient's file.A Do Not Resuscitate order (DNR) is used by people who do not want to be revived if their heart stops. If you have a completed and signed DNR form, medical …All staff and visitors are required to wear face coverings in public areas of KDA buildings, except where social distancing can be maintained. Topeka/Parsons. 785-296-5733. [email protected]. Stafford. 620-234-5311. [email protected]. Stockton. …Last updated: March 3, 2023: Created: March 3, 2023: Format: PDF: Form Number: Form File Identifier: 014-0350-93: Name: English - 014-0350-93 - Request a Do Not Resuscitate Confirmation FormTo determine the prevalence of DNR orders, and predictors of DNR orders in older institutionalized individuals in a large community teaching nursing home: 177 consecutively located older patients from an 899-bed academic long-term care facility: Age cohorts compared: Patients aged <85 years and those aged ≥85 years: Adjusted odds of …Complete KS Pre-Hospital Do Not Resuscitate (DNR) Request Form 2020-2022 online with US Legal Forms. Easily fill out PDF blank, edit, and sign them. hospital do not resuscitate. (DNR) is a legal document that allows adults to communicate, in advance of a medical emergency, their desire to not.12 pages hospital do not resuscitate. Kansas Legal Services 712 S. Kansas Ave., Suite 200, Topeka KS 66603 785-233-2068 Toll Free 800-723-6953 Matt Keenan, Executive Director How to complete the Michigan Do Not Resuscitate Order — DNR — Statutory Form on the internet: To start the document, use the Fill camp; Sign Online button or tick the preview image of the blank. The advanced tools of the editor will lead you through the editable PDF template. Enter your official identification and contact details. Dnr form kansas, Do Not Resuscitate Directives in Kansas Debra M. Sellers, Ph.D. Erin J. Dittman Understanding the Do Not Resuscitate (DNR) Directive DNR stands for "Do Not Resuscitate." A DNR is a type of advance directive that you complete in advance of a medical emergency. Typically, only terminally ill patients have a DNR directive or order., Description and Purpose. A Do Not Resuscitate is a document that informs medical professionals that they should not provide cardiopulmonary resuscitation (CPR) or advanced cardiac life support (ACLS) to an individual if that individual stops breathing or if their heart stops. In common language, this is a document that essentially says “don ..., Create Document. Updated August 28, 2023. A Kansas advance directive lets someone choose their end-of-life medical care and an agent to carry out their wishes in case they become unable to advocate for themselves and their own health. An advance directive is meant for the elderly or any person that may no longer able to speak for themselves in ..., 1. First, write down the complete personal information of the patient in this Colorado DNR Form. This would include your: Full name. Name of the agent or guardian, if that is applicable to your case. Date of birth, gender, and hair color. Race/ethnicity. Name of a hospice program, if again, is applicable to you. 2., Your Health Care Directive, or DNR, lets you state your wishes about medical care in the event that you become terminally ill and can no longer make your own medical decisions. The Declaration becomes effective if your death would occur even with the use of life-sustaining medical care. (Your doctor and one other physician must personally ..., (c) "do not resuscitate order" or "DNR order" means instruction by the physician or physician assistant who is responsible for the care of the patient while admitted to a medical care facility licensed pursuant to K.S.A. 65-429, and amendments thereto, or an adult care home licensed pursuant to K.S.A. 39-928, and amendments thereto;, PRE-HOSPITAL DO NOT RESUSCITATE (DNR) REQUEST FORM. Facebook Twitter. This form may be signed prior to a hospitalization to make clear your wishes in certain health care situations. A copy should be provided to the hospital, at admission. You may also wish to provide one to your primary doctor. The form, attached below, is fillable., PDF. Size: 294 KB. Download. Do Not Resuscitate Confirmation Form – This form is not only to be honored by medical professionals but also firefighters and any individual who is present and will be providing first aid to a patient. In order for the form to the considered valid by the State or the country, it should have a set of seven-digit ..., Nov 16, 2018 · A kansas do not resuscitate form 1 is a pdf form that can be filled out, edited or modified by anyone online. PDF (Portable Document Format) is a file format that captures all the elements of a printed document as an electronic image that you can view, navigate, print, or forward to someone else. , The Kansas living will is found in a statute titled “The Natural Death Act. ... Do-Not-Resuscitate (DNR) form. Norton County Hospital 102 East Holme P.O. Box ..., Out of Hospital DNR form (DOH-3474) that is legally recognized statewide for DNR requests occurring outside of Article 28 licensed facilities. This form is intended for patients not originating from a hospital or nursing home. For patients with a valid Nonhospital DNR or MOLST form with a DNR order, the Public Health Law allows a, Latest News. KDWP to Host Cooking Competition Featuring Wild Game, Foraged Foods. KDWP to Revamp Trout Season Following Suggestions from Anglers. KDWP Successfully Stocks Two Protected Species Back into Kansas Waters. Kansas State Parks Director Recognized with “Distinguished Director” Award at National Conference., Kansas City Steak Company is known for providing high-quality, hand-cut steaks that are perfect for any occasion. Whether you’re looking for a special dinner for two or planning a big family BBQ, Kansas City Steak Company has a variety of c..., Step 1. At the start of filling the DNR form, you have to write the name and surname of the patient. Specifically, in the first available field on the top of the page. Step 2. Now, look at Section 2A and find the word “printed.”. In the space after this word, you have to write the name of the physician; remember that physician should not ..., Use this form if you need someone to fill in and sign an advance care directive for you, at your direction. This document allows an adult to document their preferences for future medical treatment, should they lose decision-making capacity. A person can record general statements about their values and preferences to guide future …, Major landforms in Kansas include the Ozark Plateau, Cherokee Lowlands, Osage Cuestas, Flint Hills and Glaciated Region. Kansas is a state in the midwest region of the United States., Pre-Hospital DNR Request Form. An advanced request to Limit the Scope of Emergency Medical Care. K.S.A. 65-4942. I, _____________________________, request limited …, OKLAHOMADO­NOT­RESUSCITATE (DNR) CONSENT FORM I,, request limited health care as described in this document. If my heart stops beating or if I stop breathing, no medical procedure to restore breathing or heart function will be instituted by any health care provider including, but not limited to, emergency medical services (EMS) personnel., The Documents: Kansas statutes make two legal documents available to you to make sure your wishes are followed: A “living will”: A written statement of your wishes regarding your medical treatment if you are in a terminal condition., Do Not Resuscitate Directives in Kansas Debra M. Sellers, Ph.D. Erin J. Dittman Understanding the Do Not Resuscitate (DNR) Directive DNR stands for “Do Not Resuscitate.” A DNR is a type of advance directive that you complete in advance of a medical emergency. Typically, only terminally ill patients have a DNR directive or order., Advance Health Care Planning in Kansas. Agencies offering free support for Advance Care Planning. Advance Directives, Power of Attorney for Healthcare, Living Will, and Pre …, A DNR covers any accident or illness out of a hospital setting and instructs emergency personnel not to perform cardiopulmonary resuscitation if a patient's breathing stops or if the patient's heart stops beating. DNR POLST. It only applies to resuscitation. Can include full resuscitation or state do not resuscitate., Kansas Legal Services 712 S. Kansas Ave., Suite 200, Topeka KS 66603 785-233-2068 Toll Free 800-723-6953 Matt Keenan, Executive Director, File Type Size Uploaded on Download; PD-ACE Form - Crisis Exception: PDF: 223.86 KB: 24 Aug, 2023: Download: HCBS BI Attestation Form: PDF: 192.12 KB: 14 Apr, 2021, National POLST Form. but most states still use their own state version of POLST: see what your states does. This guide uses images from the National POLST Form to explain the form, but your state form is likely very similar. POLST forms are medical orders that your provider uses to tell another provider what treatments, PRE-HOSPITAL DO NOT RESUSCITATE (DNR) REQUEST FORM I, ___________________, request limited emergency care as herein described: understand DNR means that if my heart stops beating or if stop breathing, no medical procedure to restart breathing or heart functioning will be instituted. , Apr 29, 2019 · No, no, and no. Below is another example of a form that can be used. It is a bit simpler than the one above. The hot pink form in the first photo is a TPOPP form. It is for Kansas and Missouri. TPOPP stands for Transportable Physician Orders for Patient Preferences. It has 4 areas and allows you to outline your wishes about CPR (do it or don't ... , A do not resuscitate (DNR) order is the order for healthcare providers not to perform CPR on a patient with cardiac arrest. DNR orders are unique because CPR is the only medical intervention that requires an order not to administer it. DNR orders come from medical professionals, not from patients. If a patient wants CPR to be withheld, he or ..., The Kansas Department of Wildlife and Parks currently manages 28 state parks, 40 state fishing lakes, and 300,000 acres of public lands. These publicly-accessible areas include hiking trails, equestrian trails, swimming beaches , and campgrounds. You can find pictures of many of our beautiful parks and lakes on the Kansas.gov Flickr pool. , Following the advance directive form is a Kansas Organ Donation Form. This is especially helpful to communicate your organ donation wishes if you have not appointed an agent to communicate your wishes for you in Part One of the Kansas Advance Directive. How do I make my Kansas Advance Health Care Directive legal?, This form may be signed prior to a hospitalization to make clear your wishes in ... Free Legal Forms do not resuscitate Files Do Not Resuscitate request (DNR) fillable form.pdf Print Table of Contents NEWS News & publications The news about recent activities for needed peoples. ... Trivia Night for Kansas Legal Services - Wichita - October 24 ..., A do-not-resuscitate (DNR) order can also be part of an advance directive. Hospital staff try to help any patient whose heart has stopped or who has stopped breathing. They do this with cardiopulmonary resuscitation (CPR). A DNR is a request not to have CPR if your heart stops or if you stop breathing. You can use an advance directive form or ..., Kansas Legal Services (888) 353-5337 . www.kansaslegalservices.org. Life Project Helpline: (888) 202-5433 . www.lifeproject.org. Kansas Resources with Downloadable Forms. Kansas Bar Association (785) 234-5696 . www.ksbar.org. or . ksbar.lawinfo.com (page with forms) The University of Kansas Hospital (offers forms in Spanish) …