Make sure you display this form as visibly as possible for first ... 2026

The Prehospital Medical Care Directive, also known as a Do Not Resuscitate (DNR) order, is a legal document that instructs emergency medical personnel not to perform resuscitation measures in the event of cardiac or respiratory arrest. It must be signed by the patient and a witness or notary, and it requires specific formatting on orange paper to be valid under Arizona law. The document emphasizes the importance of comfort care and provides guidelines for designating a Health Care Power of Attorney.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information. Fill in your printed name, date of birth, sex, race, eye color, and hair color in the designated fields.
Sign the form where indicated. Ensure that you also include the date of your signature.
If applicable, provide details about your Health Care Power of Attorney. Include their printed name and signature.
Next, fill in information about your doctor and hospice program if you are in hospice care. Include their name and telephone number.
Finally, ensure that either a witness or notary public signs the document. Remember, do not have both sign.

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