Dnr Form Printable With Name

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Multi-State
Control #:
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

A DNR order does not mean "do not treat." Rather, it means only that CPR will not be attempted. Other treatments (for example, antibiotic therapy, transfusions, dialysis, or use of a ventilator) that may prolong life can still be provided.

Do not resuscitateDNR form used in VirginiaOther namesDo not attempt resuscitation, allow natural death, no code1 more row

Are There Different Types Of DNR Orders? Yes. There are two choices. You may be a DNR Comfort Care (DNRCC) patient or a DNR Comfort Care - Arrest (DNRCC - Arrest) patient.

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.

You can write an advance directive in several ways: Use a form provided by your doctor. Write your wishes down by yourself.

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Dnr Form Printable With Name