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Arkansas Do Not Resuscitate Form - PDF Formate-database

Arkansas Do Not Resuscitate Form - PDF Formate-database 2025

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The document is a Do Not Resuscitate (DNR) order from the State of Arkansas, which allows a patient or their legal representative to refuse cardiopulmonary resuscitation and other life-saving measures in the event of cardiac or respiratory arrest. It includes sections for the patient's information, signatures from the patient or their proxy, and the attending physician's orders and details.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the patient's full name in the designated field at the top of the form. Ensure accuracy as this is crucial for identification.
Next, have the patient or their health care proxy or legal guardian sign in the provided signature area. This confirms consent and understanding of the DNR order.
In the attending physician's section, the physician must sign and provide their printed name, telephone number, and date when the order was written. This validates the medical directive.
Review all entries for completeness and accuracy before saving or printing your document. Our platform allows you to easily make any necessary adjustments.

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What are the three types of DNR?

What are the types of DNR? Do not attempt resuscitation (DNAR). This is basically the same as a DNR. Allow Natural Death (AND). This lets providers use treatments that keep you as comfortable as possible. Do not intubate (DNI). Specified DNRs. Comfort care orders.

Can I print a DNR 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.

How do you get a DNR form?

How to get a DNR (do not resuscitate) form Make an appointment with your GP. You may need to explain your reasons for wanting to refuse CPR, so think about what you might say in advance. Think about other ways you can also put your wishes down in writing, for example by making a living will (advance decision)

What is a DNR form in Arkansas?

The Arkansas Do Not Resuscitate (DNR) order form is a document used by an individual who does not wish to receive any resuscitation procedures in the event of a medical emergency. Typically, a DNR is ordered by people who are terminally ill or who are opposed to life-prolonging treatment when close to death.

What is a do not resuscitate DNR document?

A do-not-resuscitate order (DNR) is a set of instructions that tell your healthcare team what kind of care you do and dont want at the end of your life. This is a legal and medical document, and it ensures that your end-of-life medical care aligns with your beliefs, needs and desires as closely as possible.

What is a DNR document?

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

What is DNR PDF?

PREHOSPITAL DO NOT RESUSCITATE (DNR) FORM 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 to make a DNR form?

How To Get a DNR Form Speak with your (or a)physician: For a DNR form to be activated, it requires a doctors signature. Choose possible medical treatments: The main treatment a DNR form covers is CPR treatment. Get formed signed: Different states have different requirements.

Arkansas Do Not Resuscitate Form - PDF Formate-database 2025

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