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Click ‘Get Form’ to open it in the editor.
Begin by filling in the date on the declaration section. This is crucial as it marks the effective date of your DNR.
In the declaration section, provide your full name and confirm that you are at least eighteen years old and of sound mind.
Clearly state your desires regarding resuscitation in case of cardiac or pulmonary failure. Ensure you understand the implications of this declaration.
Complete the witness section by having two witnesses sign and print their names, ensuring they meet the criteria outlined in the form.
For the physician's order, have your attending physician fill out their details, including their signature and medical license number.
Start using our platform today to complete your DNR form easily and for free!
A DNR order is a medical order issued by a physician or other authorized practitioner that directs healthcare providers not to administer CPR.Read more
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