What it does
Complete, signed and sealed
Refusal of treatment
Capacity checks, the risks explained in plain words, and the patient’s or a witness’s signature — including “refused to sign” with a witness.
Declaration of death
The treatment before declaration, the seven clinical criteria, or a sign of obvious death that replaces them, and the handover of the body.
Remote declaration
A medic who may not declare records the findings; the qualified practitioner declares on a video call and confirms with a signature — or the service’s appointed declaration officer’s signature on file is used.
Started from the PRF
Refused or dead on scene at handover starts the right form with the patient’s details copied in, and the two stay linked.
ECG strip and photos
An ECG strip, patient or injury photos are kept with the declaration for the record — never printed on the form.
Sealed and numbered
Each form has its own number (REF / DOD), is sealed with a digital fingerprint on submission, and is ready as a PDF.
Declaration of death
DOD 000412
- No palpable central pulse
- No heart sounds
- No respiration
- Fixed, dilated pupils
- + 3 more criteria
Declared by the practitioner · signature on file
Sealed · fingerprint 3f9a…c21e
Signed and sealed
Ready for any question about the call
- Signatures are drawn on screen — or the declaration officer’s signature on file.
- On submission the form is sealed with a digital fingerprint.
- The PDF is ready for the family, the hospital or the police.
Questions
Good to know
Can a medic who may not declare death record a declaration?
Yes. The medic records the findings and the qualified practitioner declares on a video call and confirms with their signature through a single-use link — or, when they are one of the service’s appointed declaration officers, their signature on file is used.
Are the photos printed on the declaration?
No. ECG strips and photos are kept with the declaration in the system for the record, and sealed with it, but they are not printed on the form.
Can a form be changed after it is submitted?
No. A submitted form is locked and sealed. Photos can still be added to a declaration afterwards; each addition records who added it and when, and the declaration is sealed again.
See it with your own calls
A 30-minute walkthrough using your call types, medical aids and tariffs. No obligation.