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A DNR order must be written by a doctor. The doctor will typically explain your options to you and your family, outlining what the DNR entails. With your consent, the doctor will create the order and enter it into your medical record. It will then be visible and applicable to any medical professionals who treat you.
The Indiana POST form must include the following to be valid: Patient name; code status order; treating practitioner signature with date; and patient or legal representative signature with date. The form must also be in English.
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.
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.
I, _________________________________________, request limited emergency care as herein described. I understand DNR means that if my heart stops beating or if I stop breathing, no medical procedure to restart breathing or heart functioning will be instituted.