Do Not Resuscitate Order - DNR or Advance Directive 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the section for FULL CARDIOPULMONARY ARREST. Indicate your choice regarding CPR by checking the appropriate box.
3. Next, move to the PRE-ARREST EMERGENCY section. Select whether you want to attempt CPR or not by marking your choice.
4. In the 'Other Instructions' field, provide any additional directives that may be relevant to your care preferences.
5. Complete the Patient Directive Authorization and Consent section by printing your name, signing, and dating the form.
6. If applicable, have a legal guardian or health care surrogate sign and date their consent as well.
7. Ensure two witnesses sign and date the form in the designated areas to validate your DNR order.
8. Finally, obtain the physician's signature and printed name along with the date to finalize the document.

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