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[Music] welcome to pdf run in this video well guide you on how to fill out a do not resuscitate form a do not resuscitate form is used by terminally ill individuals who do not want to be saved or brought back to life via cpr defibrillation or other life-saving or life-sustaining medical procedures it is used by elderly people and individuals who are suffering from a health condition and do not see a path towards a cured condition people who want to stay off life support in the event of a coma or major injury or illness may also use the form to begin filling out this document click on the fill online button this will redirect you to pdf runs online editor first provide the patients full legal name as it appears on all medical records on file next write a note that confirms the patients request to order all medical personnel to abstain from all attempts to resuscitate and allow a natural death the section must also indicate the state the patient resides in on this part patient request