How to Create a Do Not Resuscitate Form

Do Not Resuscitate form with DNR patient wristband

A Do Not Resuscitate (DNR) form is a crucial document for individuals who want to ensure their end-of-life preferences are respected. This legally recognized order informs medical professionals not to perform cardiopulmonary resuscitation (CPR) or other life-saving measures if the individual’s heart stops or they stop breathing.

Creating a DNR form is not only about honoring personal wishes but also providing clarity and peace of mind to loved ones and healthcare providers during emotionally challenging moments. By understanding its purpose, legal implications, and how to prepare this form correctly, individuals can take proactive steps to maintain control over their medical care while alleviating uncertainty for those who may need to make decisions on their behalf.

This guide will walk you through the essential steps to create a DNR form, ensuring your wishes are clearly documented and legally valid.

What Is a DNR Form and Why Consider One?

A Do Not Resuscitate (DNR) form, often referred to when discussing the DNR meaning, is a legal document that communicates an individual’s decision to decline resuscitative measures such as CPR or advanced cardiac life support (ACLS), in the event their heart stops or they stop breathing. This directive is typically used to ensure that medical interventions align with the individual’s end-of-life wishes, providing clarity and guidance for healthcare professionals and loved ones.

DNR forms are particularly relevant for individuals with severe or terminal health conditions, such as advanced-stage cancer, end-stage heart or lung disease, or progressive neurological disorders. In these situations, aggressive resuscitative efforts may not align with the person’s preferences, may be medically futile, or could lead to a reduced quality of life.

Additionally, some individuals may choose a DNR based on personal beliefs, a desire to avoid invasive medical procedures, or the wish for a more natural and dignified passing. By completing a DNR form, individuals ensure their choices are respected, even in situations where they are unable to communicate their wishes directly.

Understanding the purpose and implications of a DNR form is the first step toward making informed decisions about medical care and ensuring that personal values are honored in critical moments.

Steps to Creating a Legally Valid DNR Form

If you’re wondering how to get a DNR, it starts by creating a DNR form. This involves careful planning and adherence to specific guidelines to ensure it is legally valid and reflective of your wishes. Here’s a step-by-step guide to help navigate the process:

1. Consulting with a Medical Professional

The first and most crucial step is consulting with your physician. A medical professional can help you:

Understand the medical implications of a DNR form, particularly if you’re managing a terminal illness or chronic condition.
Discuss how a DNR aligns with your healthcare goals and quality of life considerations.
Ensure the form complies with state-specific medical guidelines.

A doctor’s signature is often required to make a DNR form legally binding, underscoring the importance of this consultation. This step also provides an opportunity to ask questions and gain clarity about your decision.

2. State-Specific Requirements for DNR Forms

Each state has unique requirements for DNR forms, which may include:

Specific language or format for the document.
Witness signatures or notarization to validate the form.
Additional considerations, such as the use of specific DNR bracelets or wallet cards for emergency responders.

It’s essential to review your state’s guidelines carefully to ensure your DNR is legally recognized. Many state health department websites provide templates or instructions for completing a DNR form.

3. Documenting and Sharing Your DNR Wishes

Once the DNR form is completed, take these steps to ensure it’s accessible and respected:

Store Securely: Keep the original form in a safe but easily accessible location, such as a medical folder at home or with your healthcare proxy.
Share with Key Individuals: Provide copies to trusted family members, your healthcare proxy, and primary care providers.
Emergency Accessibility: Ensure emergency responders can quickly locate the form. Consider keeping a copy in a visible spot, such as on the refrigerator, or wearing a medical ID bracelet indicating your DNR status.

By following these steps, you can create a DNR form that ensures your healthcare wishes are respected while offering clarity and guidance to your loved ones and medical team.

Key Considerations for Your DNR Decision

Choosing a DNR is a deeply personal decision that requires thoughtful consideration. It’s essential to evaluate how your choice aligns with your values and the potential impact on your loved ones. Understanding the do not resuscitate pros and cons can help clarify whether this decision is the right fit for your circumstances, particularly when combined with other advance directives. Here are some key factors:

Impact on Loved Ones: Openly discussing your decision with family members can provide clarity, reduce confusion, and ease emotional stress during medical emergencies. Transparent communication ensures your loved ones understand your reasoning and are prepared to honor your wishes without feeling burdened by uncertainty or guilt. It also helps avoid potential conflicts among family members during high-pressure situations.
Personal Values: Reflect on your beliefs about life-sustaining treatments and how they align with your definition of quality of life. Consider any religious, cultural, or ethical values that might influence your preferences for end-of-life care. For example, if you prioritize comfort and dignity over aggressive medical interventions, a DNR may align closely with your goals.
Advance Directives: Pairing a DNR with other advance directives, such as a living will or healthcare proxy, creates a comprehensive plan to ensure your medical and personal wishes are respected. A living will can specify additional treatment preferences, while a healthcare proxy appoints someone you trust to make medical decisions on your behalf if you’re unable to do so. Together, these documents provide clear instructions to healthcare providers and loved ones.

By carefully considering these factors and involving your family and healthcare team, you can create a DNR decision that reflects your values, relieves loved ones of uncertainty, and provides peace of mind during difficult times.

Can You Change or Revoke a DNR?

DNR orders are not set in stone and can be updated or revoked if your preferences, values, or medical condition change over time. Flexibility is a key feature of this document, ensuring it reflects your current wishes.

How to Revoke a DNR: If you decide to cancel your DNR, notify your doctor or healthcare provider either verbally or in writing. Your doctor will ensure the order is officially removed from your medical records. Additionally, destroy all copies of the DNR form to avoid confusion in an emergency. Inform family members, medical proxies, and caregivers about the revocation to ensure they are aware of your updated wishes.
Health Improvements or Changing Preferences: In some cases, individuals may experience improvements in their health or decide that they want all life-saving measures to be attempted. Revisiting your DNR decision during these moments is entirely appropriate. For example, if your outlook on aggressive medical interventions changes or you recover from a previously life-threatening condition, revoking or adjusting the DNR ensures your care plan aligns with your current situation.

By maintaining the flexibility to modify or revoke a DNR, individuals can adapt their end-of-life preferences to match their evolving health needs and values, ensuring their care remains personalized and respectful.

Does a DNR Form Need to Be Notarized?

The requirements for notarizing a DNR form vary depending on state regulations. Understanding the legal criteria in your area is essential to ensure the validity of your document and avoid complications during medical emergencies.

State-Specific Rules: Some states require that a DNR form be notarized or signed in the presence of witnesses to validate it, while others do not. This additional step may be mandated to provide a layer of legal assurance. Familiarizing yourself with the do not resuscitate laws by state is crucial to avoid invalidation of the form. For example, some states provide standardized forms that include specific instructions for notarization or witnessing, which must be followed precisely.
How to Confirm Compliance: To verify the requirements in your state, consult your healthcare provider or check your state’s health department website. Medical professionals can often provide standardized forms and guidance on completing them correctly. Legal advisors or estate planners may also assist in ensuring compliance with local laws.

Ensuring your DNR form meets all legal criteria is critical to having your wishes honored without delay. When in doubt, seek guidance from qualified professionals to confirm that all necessary steps, including notarization or witnessing, are completed. This attention to detail provides peace of mind, knowing your preferences will be respected in a medical emergency.

Considering Body Donation Alongside a DNR Decision

For individuals considering a DNR order, combining this choice with body donation can create a lasting legacy. MERI’s Genesis Program provides a compassionate way to contribute to medical science, helping advance research and education. By choosing whole body donation, you can also alleviate the financial burden of funeral expenses for your family, as cremation services are provided at no cost.

This thoughtful decision not only supports groundbreaking scientific work but also offers peace of mind, knowing your final act benefits future generations.

Guidelines for Donating Your Body to Science

Before making a commitment to body donation, it’s important to understand the basic eligibility requirements and considerations. Factors such as health conditions and geographic location may impact eligibility. At MERI we provide comprehensive guidelines to ensure a smooth process, which you can review in our resource on the rules for donating your body to science.

By familiarizing yourself with these guidelines, you can confidently make an informed decision about this impactful and meaningful option.

Leaving a Legacy

Choosing whole body donation alongside a DNR is a powerful way to leave a legacy that advances medical research and alleviates financial strain on your loved ones. Learn more about our Genesis Program and explore how this decision can make a difference in the world while providing closure and comfort to your family.

Take the first step today—explore the benefits of whole body donation with MERI and create a lasting impact.