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Get AL Portable Physician Do Not Attempt Resuscitation (DNAR) Order 2016-2024

Patient/Resident Full Name (PRINT) and Date of Birth: Instructions. This order is valid only if Section I, II, III, OR IV is completed AND a physician has completed Section V. Section I. Patient/Resident Consent. I, the undersigned patient/resident, direct that resuscitative measures be withheld from me in the event of cardiopulmonary cessation. I have discussed this decision with my physician, and I understand the consequences of this decision. Signat.

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