Kentucky dnr form 2025

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Any adult person may execute an EMS DNR Order. The person for whom the Order is executed shall sign and date the Order. The executor of the Order must also place their printed or typed name in the designated area and their signature on the EMS DNR Order bracelet insert found at the bottom of the EMS DNR Order 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.
Costs. In most states, there are no costs or fees associated with the creation of a DNR. Having said that, there are always exceptions.
Most DNR forms do not need to be notarized, 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.
How is a DNR Order Created? If you decide you want a DNR order, tell your provider and health care team what you want. Your provider must follow your wishes, or: Your provider may transfer your care to a provider who will carry out your wishes.
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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.

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