Cardiopulmonary Resuscitation Info Services Forms for Orange
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FAQ
You can write an advance directive in several ways:Use a form provided by your doctor.Write your wishes down by yourself.Call your health department or state department on aging to get a form.Call a lawyer.Use a computer software package for legal documents.
The Prehospital Do Not Resuscitate (DNR) Form is an official State document developed by the California EMS Authority, in concert with the California Medical Association and emergency medical services (EMS) providers, for the purpose of instructing EMS personnel regarding a patient's decision to forgo resuscitative
If you prefer to order by mail, you can download a DNR bracelet order form by clicking on California DNR / POLST Bracelet Mail Order Form. Or, you can place your order online by clicking on either the bracelet or pendant photo below.
2 ways to request a DNR form:Click here to download the DNR form now (print on orange paper)Call 602- 542-2123 or 800-352-8431 and leave a message.
Do not resuscitate order A DNR is a request not to have CPR if your heart stops or if you stop breathing. You can use an advance directive form or tell your doctor that you don't want to be resuscitated. Your doctor will put the DNR order in your medical chart. Doctors and hospitals in all states accept DNR orders.
Resuscitation: The use of basic or advanced life support treatments in an emergency situation begun when someone has stopped breathing or whose heart has stopped beating.