Alabama do not resuscitate dnr form 2026

1. Click ‘Get Form’ to open the Alabama Do Not Resuscitate DNR form in our editor.
2. Begin by entering the patient/resident's full name and date of birth in the designated fields at the top of the form.
3. In Section I, if you are the patient/resident, sign and date to indicate your consent for withholding resuscitative measures.
4. If applicable, proceed to Section II. A health care provider or facility representative must sign and date this section if the patient is incompetent.
5. For Section III, if you are a health care proxy or attorney-in-fact, provide your signature and print your name along with the date.
6. In Section IV, if you are a surrogate decision-maker, complete this section by signing and printing your name with the date.
7. Finally, in Section V, a physician must sign and print their name along with the date to authorize the order.

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