Health Care Proxy - Oklahoma Do Not Resuscitate form - DNR - Oklahoma 2026

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The document is an Oklahoma Do-Not-Resuscitate (DNR) consent form that allows individuals to request limited health care, specifically declining resuscitation efforts in the event of cardiac or respiratory arrest. It outlines the process for revoking consent, the permissions granted to healthcare providers, and includes a certification section for physicians to confirm that an incapacitated person would not have consented to resuscitation based on prior informed decisions.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in your name in the designated space at the top of the form. This identifies you as the individual requesting limited health care.
Review the consent statement carefully. Ensure you understand that this document will prevent any medical procedures aimed at restoring heart function or breathing if you are incapacitated.
Sign the form where indicated, either as the person making the request or as a representative authorized under relevant laws.
Complete the witness section by having two witnesses sign and date the form, confirming they observed your signature.
If applicable, ensure that a physician certifies your decision on the back of the form, providing their signature and contact information.

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