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OUT OF HOSPITAL DO NOT RESUSCITATE DECLARATION Declaration made this day of. I being of sound mind and at least eighteen 18 years of age willfully and voluntarily make known my desires that my dying shall not be artificially prolonged under the circumstances set forth below. My medical care may include any medical procedure necessary to provide me with comfort care or to alleviate pain. I understand that I may revoke this out of hospital DNR declaration at any time by a signed and dated writing ...

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What are the 2 types of DNR?

Did you know that there are two different types of DNR orders that can be chosen? The first is the DNR Comfort Care (DNRCC) and the other is the DNR Comfort Care- Arrest (DNRCC-Arrest).

What is an example of a do-not-resuscitate order?

I, _________________________________________, request limited emergency care as herein described. I understand DNR means that if my heart stops beating or if I stop breathing, no medical procedure to restart breathing or heart functioning will be instituted.

How do I make myself DNR?

You can use an advance directive form or tell your doctor that you don't want to be resuscitated. Your doctor will put the DNR order in your medical chart. Doctors and hospitals in all states accept DNR orders. They do not have to be part of a living will or other advance directive.

What is a DNR form?

A do-not-resuscitate order, or DNR order, is a medical order written by a doctor. It instructs health care providers not to do cardiopulmonary resuscitation (CPR) if a patient's breathing stops or if the patient's heart stops beating.