Kentucky dnr form 2026

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  1. Click ‘Get Form’ to open the Kentucky DNR form in the editor.
  2. Begin by entering the Person's Full Legal Name in the designated field. This is crucial for identifying the individual for whom the DNR order applies.
  3. If applicable, fill in the Surrogate's Full Legal Name. This section is important if a surrogate has been designated to make health care decisions.
  4. Review and understand the directives outlined in the form regarding resuscitation measures. Ensure you are comfortable with these instructions before proceeding.
  5. Sign and date the form at the bottom where indicated. If notarization is required, ensure that a Kentucky Notary Public witnesses your signature or have two unrelated witnesses sign.
  6. Detach and complete the bracelet insert at the bottom of the form, ensuring it is placed on your wrist or ankle for easy access by EMS personnel.

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