Form do not resuscitate 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the date at the top of the form. This indicates when the declaration is made.
3. In the first blank, enter your full name, ensuring it matches your identification documents.
4. Confirm that you are of sound mind and at least eighteen years old by checking the appropriate box if available.
5. Provide details about your medical condition as certified by your attending physician, ensuring clarity on your wishes regarding resuscitation.
6. Sign and print your name at the designated areas to validate your declaration.
7. Include your address and city/state of residence for identification purposes.
8. Two witnesses must sign and print their names, confirming they are not related to you and are competent individuals over eighteen years old.
9. If applicable, have your attending physician complete their section, including their signature and medical license number.

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