Follow the steps to complete the DNR order form online.

1. Press the ‘Get Form’ button to access the DNR order form and open it in your preferred editor.
2. In the first section, you will need to fill in your name, indicating that you have a medical illness. This identification is crucial for the validity of the order.
3. Next, discuss the prognosis and treatment options with your physician if not already done, as this will inform your decisions regarding resuscitation.
4. Check the appropriate boxes that indicate your decisions: ‘DO NOT INTUBATE’ and/or ‘DO NOT RESUSCITATE (DNR)’. Each option has a description that outlines what it entails.
5. Sign the form as the patient, or have your Next of Kin or Guardian of Person sign if applicable. Ensure that the date of your signature is included.
6. Enter your address, including the facility name if you are currently in one, ensuring accurate contact information.
7. A witness must sign the form to verify that all of the necessary discussions regarding your medical illness and treatment were had.
8. The physician who discusses the DNR order will need to complete their section, including their name, date of birth, printed name, and signature. It is important that this section is clear and legible to ensure proper communication of your wishes.
9. If the order is given by telephone, a designated agency must complete their section, signing off on the consultation with the physician.
10. Finally, distribute copies of the completed DNR form to all relevant parties, including your patient file, attending physician, home health/hospice agency, and your home if applicable. Ensure that the original is kept in your primary medical file in a prominent place.

Complete your DNR order form online today to ensure your healthcare wishes are clearly communicated.