Dnr 2026

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The document is an Oklahoma Do-Not-Resuscitate (DNR) consent form, which allows individuals to request limited health care and specify that no medical procedures to restore breathing or heart function should be performed in the event of cardiac or respiratory arrest. It outlines the process for revoking this consent and includes sections for signatures from the individual, their representative, and witnesses. Additionally, it contains a certification section for physicians to confirm that an incapacitated person would not have consented to resuscitation.

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Click ‘Get Form’ to open the DNR consent form in the editor.
In the first section, enter your name where indicated. This identifies you as the individual requesting limited health care.
Review the consent statement carefully. Ensure you understand that this document will prevent medical procedures aimed at restoring heart function or breathing if you are incapacitated.
If applicable, have your representative sign in the designated area. This could be an attorney-in-fact or a health care proxy.
Next, complete the witness section by having two witnesses sign and date the form, confirming they observed your signature.
For physician certification, ensure that your attending physician fills out their section accurately, providing their signature and contact information.

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