Dnr Form In Ontario

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Multi-State
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US-02091BG
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Word; 
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Description

A do not resuscitate (DNR) order is a request not to have cardiopulmonary resuscitation (CPR) if your heart stops or if you stop breathing. Unless given other instructions, hospital staff will try to help all patients whose heart has stopped or who have stopped breathing. A DNR order is put in your medical chart by your doctor. DNR orders are accepted by doctors and hospitals in all states.


This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.

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How to fill out Do Not Resuscitate Order - DNR Or Advance Directive?

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FAQ

The DNR does come with a serial number on it, but that's because a physician must issue it or sign it ? or a regulated health professional, a nurse, can sign as well.

Ontario's new Do Not Resuscitate Confirmation (DNRC) Form was introduced in February 2008. To view and order the form, visit and search under Resources - Forms. (Note: the form cannot be printed and completed online because of the unique serial number on each form.)

A DNR is a request not to have CPR if your heart stops or if you stop breathing. You can use an advance directive form or tell your doctor that you don't want to be resuscitated. Your doctor will put the DNR order in your medical chart. Doctors and hospitals in all states accept DNR orders.

Sometimes a ventilator is needed for a short time to keep you breathing. WHAT DOES 'NO RESUSCITATION' (DNR) MEAN? It means that if your heart stops we will not do any of the things listed under ?What is Resuscitation?. IF I CHOOSE 'NO RESUSCITATION' HOW WILL I BE TREATED?

Used by Health Care Facility Staff and Regulated Health Care Providers. Submit completed order request form (available at ) to OSSDistribution@ontario.ca.

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Dnr Form In Ontario