Printable dnr form 2026

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  1. Click ‘Get Form’ to open the printable DNR form in the editor.
  2. Begin by entering the patient's full name and birth date at the top of the form. This information is crucial for identifying the individual.
  3. In section one, indicate your wishes regarding full cardiopulmonary arrest by selecting 'Do Not Attempt Cardiopulmonary Resuscitation (CPR)'.
  4. For pre-arrest emergencies, choose between 'Do Attempt CPR' or 'Do Not Attempt CPR' based on your preferences.
  5. Provide any additional instructions in the designated area to clarify your wishes further.
  6. Sign and date the authorization section, ensuring that you also include printed names where required. If applicable, have a legal representative sign as well.
  7. Two witnesses must sign and print their names to validate the consent. Ensure they are over 18 years old.
  8. Finally, ensure that a physician signs and dates the order to complete the DNR process.

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