Texas out hospital dnr form 2025

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The document outlines the Out-of-Hospital Do-Not-Resuscitate (OOH-DNR) Order as mandated by the Texas Department of State Health Services. It details the process for competent adults and authorized representatives to execute an OOH-DNR order, which instructs healthcare professionals to refrain from resuscitation measures in out-of-hospital settings. The document specifies who can issue the order, the necessary declarations required from various parties, and the conditions under which the order remains effective or can be revoked. It emphasizes that comfort care will still be provided.

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Click ‘Get Form’ to open the Texas Out-of-Hospital DNR form in the editor.
Begin by filling in the person's full legal name, date of birth, and gender at the top of the form. This information is crucial for identification.
In Section A, if you are a competent adult (18 years or older), sign and date the declaration indicating your wishes regarding resuscitation measures.
If you are signing on behalf of someone who is incompetent, proceed to Section B. Here, a legal guardian or proxy must provide their printed name, signature, and date.
For those without a guardian, Section C allows a qualified relative to sign. Ensure that you indicate your relationship to the person.
Sections D and E require signatures from physicians or guardians for minors. Make sure all necessary fields are completed accurately.
Finally, ensure that two witnesses sign in the designated area. Their signatures validate the document's authenticity.

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Versions	Form popularity	Fillable & printable
2009	4.8 Satisfied (122 Votes)
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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does an out of hospital DNR have to be docHubd?

Most DNR forms do not need to be docHubd, although they can be. Typically, two adult witnesses are required to watch you sign the order, and then add their own signatures to attest that you were sound of mind. However, you can replace these two witness signatures by having your DNR Form signed by a notary.

Does a DNR have to be signed?

Do I need to consent to a DNR order? There are many misunderstandings about what a DNR order means, and the law surrounding their use. The most important factor to bear in mind is that the law does not require a patient, or their family to consent to an order.

Can I print out a DNR form?

Download, Complete, and Sign. The DNR form should be printed and signed by both the doctor and patient in the presence of two witnesses.

What are the two types of DNR?

The types of treatments that a patient with a DNR order would not receive include cardiopulmonary resuscitation (chest compressions and mouth-to-mouth breathing, or CPR), electric shocks to the heart, assisted breathing with mechanical devices, or the use of medications intended to start the heart again.

How to know if a DNR is valid?

Depending on the law where you live, a DNR is only valid if written by a physician (MD or DO) or another specified type of healthcare professional. Ideally, youd have a do-not-resuscitate order prepared before an emergency happens.