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Step 1 ? Download the POLST form in PDF. Step 2 ? Enter the patient's full name, date of birth, gender and address on the lines at the top of the form. Step 3 ? Select one (1) of the CPR options under section 'A'; ?Attempt Resuscitation? or ?Do Not Attempt Resuscitation.?
Creating a DNR is simple and affordable at 12 Law. The only person that you need it signed with is your doctor and the presence of an adult witnesses or a lawyer who will witness for you as you sign the document.
Illinois law allows you to make four types of advance directives: a health care power of attorney; a living will; a mental health treatment preference declaration, and a Practitioner Orders For Life-Sustaining Treatment (POLST).
There are currently two types of DNR orders: 1) "DNR Comfort Care," and 2) "DNR Comfort Care - Arrest." Upon the issuance of either order, standard forms of identification are provided for in OAC rule 3701-62-04.
In all cases, the patient's attending physician must sign off on the DNR order form. Illinois recently revised their DNR form and integrated it into a more detailed and all-encompassing life-sustaining-treatment form; the Practitioner Orders for Life-Sustaining Treatment (POLST) form.