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PH PHYSICIAN S DO NOT RESUSCITATE (DNR) ORDER FOR THE MEDICALLY ILL I, , have been diagnosed as having a medical illness. I have discussed both the prognosis of this illness and the treatment options.

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To use the sharing features on this page, please enable JavaScript. A do-not-resuscitate order, or DNR order, is a medical order written by a doctor. It instructs health care providers not to do cardiopulmonary resuscitation (CPR) if a patient's breathing stops or if the patient's heart stops beating.

Strictly defined, a do not resuscitate/do not intubate (DNR/DNI) status indicates a patient does not want to receive CPR or intubation in the event of cardiopulmonary arrest.

If you want to refuse CPR, you should ask your GP or the doctor in charge of your care to record this decision in a DNR form. You can only get a DNR form from your doctor.

Step 1 – Download the Nebraska DNR Order (. PDF). Step 2 – Enter your name at the top of the page and tick the appropriate checkbox(es) to indicate “Do Not Intubate” and/or “Do Not Resuscitate (DNR).” Step 3 – Provide your signature, the date, your address, and the signature of one (1) witness.

A physician may override a DNR if the patient's medical conditions have changed or believe that the DNR was made in error. Similarly, a patient may override the DNR if they believe it was written in error or they simply change their mind.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232