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Forms collated from various NHS and other sources are available here to download print as required. If you would like to upload a copy of your own hospitals DNR form, please use the Contact Form. If you are a medical professional your views and comments are welcome.
Here are some medical scenarios which may merit in issuing a DNR: Terminal illness. Severe chronic disease. Permanently unconscious. Severe dementia. Resuscitation efforts would be futile. Effects of CPR would leave patient in worse condition.
The requirements for creating a DNR vary from state to state. In California, a DNR order must include the patients name and the date of the order, and must be signed by you (or your healthcare agent) and your physician. The DNR will be entered into your medical records.
Do-Not-Resuscitate (DNR) A DNR order indicates to your doctors and other healthcare providers that you dont want CPR attempted in the event your heart stops beating or your breathing stops. In most cases, your doctor writes a DNR order after discussing the burdens and benefits of CPR with you and your family.
Not everyone chooses to get one because they have a terminal or advanced illness. For example, spiritual and religious beliefs often play a role in peoples preferences. And some people simply dont want to be on life support at the end of their days, so they choose a DNR order to prevent that.
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A formal DNR order must be obtained through your health care provider. It instructs other health care providers to withhold CPR if your heart stops beating. Let your caregivers and loved ones know about a DNR order and display it somewhere obvious (e.g., on your fridge, in your wallet) to inform others of your wishes.
A Durable DNR Order Form or Other DNR Order may be issued to a patient by a physician, with whom the patient has established a bona fide physician/patient relationship, only with the consent of the patient or, if the patient is a minor or is otherwise incapable of making an informed decision regarding consent for such
Download, Complete, and Sign. The DNR form should be printed and signed by both the doctor and patient in the presence of two witnesses.

do not resuscitate form virginia