Free Do Not Resuscitate Form – DNR Form

Download a Free Do Not Resuscitate Form for all states.

A do not resuscitate form is similar and many times part of an advance health care directive. Unless otherwise advised, most medical professionals will make every attempt to help all patients who have stopped breathing or whose heart has stopping functioning.

The form is a specific request not to be resuscitated should your heart stop or if you stop breathing on your own.

Download a Free Do Not Resuscitate Form or DNR Form immediately.

Many patients specify in their advanced health care directive not to be resuscitated. If you request this, a specific do not resuscitate form or DNR form is usually but not always included with your medical files.

Resuscitative measures include procedures such as assisted breathing, chest compression, defibrillation assistance and medication to help your heart continue to beat. It is important to note that a do not resuscitate form does not affect other medical care you would receive for pain or other medical conditions.

A do not resuscitate form or DNR was initially intended for use in a terminally ill patient’s home or in a longer-term health care facility. Nevertheless, all medical facilities should honor this document should a patient be delivered to an emergency room. Most states protect health care facilities from liability who correctly comply with a completed do not resuscitate or DNR form.

If you fill out a specific do not resuscitate form the original should be kept by the person filling it out (usually the patient). Another copy should be kept by your doctor and incorporated into your medical records.

Today’s do not resuscitate form applies to terminally ill people at medical facilities and people who are being treated and cared for at their home.

People worry about how this type of document will affect their life insurance. Currently the law says that insurance companies cannot bring into play suicide exclusions or refuse to renew your policy.

Should you change your mind and want to revoke your DNR, make sure you contact your doctor and destroy all copies of this form with your medical clinic and family.

And finally, you may want to get some type of wrist bracelet or at very least a card in your wallet or purse that clearly says:  “Do Not Resuscitate”. After all, the primary objective for a doctor or an emergency professional is to save your life. It must be obvious and clear about what and how you want to be treated.

A do not resuscitate form is accepted by doctors and medical facilities in all states in the U.S.

Click on the state you live in to download a Free Do Not Resuscitate Form