Get Indiana Out Of Hospital - Do Not Resuscitate Declaration - DNR - Statutory Form

In Indiana, a person must be terminally ill or have a medical condition that makes surviving cardiopulmonary resuscitation unlikely in order to be eligible for an Out-of-Hospital DNR order.

The most important factor to bear in mind is that the law does not require a patient, or their family to consent to a DNR order. This means a doctor can issue a DNR order, even if you do not want one (see section on what to do if there is a disagreement).

The patient's physician must approve of a DNR, confirming the patient's condition by signing the DNR form. Aside from the patient's and physician's signatures, two (2) witnesses are required to make a DNR order valid. Required to Sign – Patient, physician and two (2) witnesses.

You can contact the DNR Customer Service Center at 317-232-4200, 877-463-6367, or CSCinquiry@dnr.IN.gov.

All states also provide for special DNR orders that are effective outside of hospitals, wherever the person may be in the community. These are called out-of-hospital DNR orders, Comfort Care orders, No CPR orders, or other terms.

The DNR must be signed by the patient or by the patient's legally recognized health care decisionmaker if the patient is unable to make or communicate informed health care decisions.

Generally, a DNR is executed when an individual has a history of chronic disease or terminal illness, such as chronic lung disease or heart disease, that has in the past or may in the future necessitate cardiopulmonary resuscitation (CPR), and the patient no longer wishes to be revived because of concerns that the use ...

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