Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Ar Do Not Resuscitate

Get Ar Do Not Resuscitate

Signature of Patient or Health Care Proxy or Legal Guardian Date ATTENDING PHYSICIAN'S ORDER I, the undersigned, state that I am the physician for the patient named above. I hereby direct any and all qualified Emergency Medical Services personnel, commencing on the effective date noted below, to withhold cardiopulmonary resuscitation (cardiac compression, endotracheal intubation and other advanced airway management, artificial ventilation, defibrillation, administration of.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the AR Do Not Resuscitate online

The AR Do Not Resuscitate order is a critical document that allows individuals to express their preferences regarding resuscitation efforts in medical emergencies. This guide provides clear, step-by-step instructions for completing the form online to ensure your wishes are accurately recorded and respected.

Follow the steps to complete your AR Do Not Resuscitate order online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor where you can make the necessary entries.
  2. In the first section, enter the patient's full name in the designated field. Ensure that the name is spelled correctly to avoid any confusion.
  3. Next, the form requires the signature of the patient, health care proxy, or legal guardian. In the provided space, the appropriate person should sign, confirming their consent to the order.
  4. You will need to enter the date when the signature was provided. This helps establish the validity of the document.
  5. In the 'Attending Physician's Order' section, the attending physician must state their name clearly in the appropriate space, affirming they are the physician for the patient named.
  6. The physician is required to sign the document, providing their approval for withholding resuscitation measures under specified conditions.
  7. Additionally, the physician should include their emergency telephone number to ensure they can be contacted if needed for clarification on the order.
  8. Next, the physician must print or type their name to ensure clarity and avoid any misinterpretation.
  9. Lastly, record the date when the order was written. This will mark the effective date of the DNR order.
  10. Once all fields are filled out completely, users can save changes, download the completed order, print it for their records, or share it with the appropriate health care providers.

Complete your AR Do Not Resuscitate order online today to ensure your medical preferences are respected.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

RULES AND REGULATIONS FOR EMERGENCY MEDICAL ...
“Emergency Medical Services Do Not Resuscitate (“EMS/DNR”) Order Implementation...
Learn more
016.24.05 Ark. Code R. § 003 - Rules for...
"Emergency Medical Services Do Not Resuscitate ("EMS/DNR") Order Implementation Protocol"...
Learn more
Five Wishes - Wikipedia
Five Wishes is a United States advance directive created by the non-profit organization...
Learn more

Related links form

Cornell University Employer-Provided Vehicle Certification Form 2019 Alcorn State University Anti-Hazing Registration Form Canada CIT 0002E 2020 MD CC-DR-030 2020

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Medical professionals who give CPR to people with a DNR order can potentially get into trouble—if they are aware of the DNR. The legal ramifications of giving CPR to someone with a DNR are complex. In some states, DNR orders are only valid within a hospital setting; outside of that, they don't apply.

These forms are available only to physicians' offices or other licensed hospital or healthcare facilities. To purchase DNR and MOST forms, use the DNR and MOST order form: DNR & MOST Order Form (PDF, 54 KB)

When submitted to a hospital, an individual can request this form through their physician. Alternatively, one could ask their physician ahead of time for a DNR form, which would alert emergency responders/personnel, paramedics, etc. of the individual's wishes.

If you decide you want a DNR order, tell your doctor and health care team what you want. Your doctor must follow your wishes, or: Your doctor may transfer your care to a doctor who will carry out your wishes.

Generally, a DNR order should not be entered into the patient's medical record without concurrence of the parents. However, a DNR order may be entered by the patient's physician without parental permission if CPR is determined to be physiologically futile or non-therapeutic, in ance with Paragraphs E and F below.

Regardless of the format or the venue, DNR orders almost always follow the same general rules to be valid: DNR orders must be written by medical professionals rather than verbalized. ... Written DNR orders must include the patient's name. ... DNR orders must be dated. ... The DNR order must be signed by the healthcare provider.

Did you know that there are two different types of DNR orders that can be chosen? The first is the DNR Comfort Care (DNRCC) and the other is the DNR Comfort Care- Arrest (DNRCC-Arrest).

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 tell your doctor that you don't want to be resuscitated. Your doctor will put the DNR order in your medical chart.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get AR Do Not Resuscitate
Get form
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
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232