All forms
Estate PlanningpdfAll States
Do Not Resuscitate Order (DNR)
Medical order directing healthcare providers not to perform CPR if your heart stops or you stop breathing, typically signed by both patient and physician.
PDF TemplateUse the instructions below to complete this form
Instructions
Discuss your wishes with your physician. The DNR must be signed by both you (or your healthcare agent) and your treating physician. Many states have specific statutory forms or use POLST/MOLST (Physician Orders for Life-Sustaining Treatment). Keep the original accessible (on the refrigerator or beside the bed). A DNR only covers CPR — it does not affect other treatments. EMS personnel generally cannot honor a DNR without a state-approved form.