Do Not Resuscitate (DNR) Alaska
- Document Name
- Emergency Medical Services Prehospital Do Not Resuscitate Order
- Where do you get the form
- You can also request a copy from the State Emergency Medical Services Department.
- Who signs the form
- The form is signed by the physician, the patient, and the health care agent named in the health care power of attorney form.
- Patient Identification
- The form is a three-part form. Give a copy of the form to EMS personnel.
- How do you obtain a DNR bracelet
- If you decide to wear a DNR bracelet, ask your physician to order a Comfort One DNR bracelet for you. There is a nominal fee to obtain a DNR bracelet.
- Revoking a DNR
- If you change your mind, destroy the enrollment forms and the wallet card. Notify your physician in writing that you have changed your mind.
- State links
- http://www.chems.alaska.gov/ems/Comfort_One.htm
- Other links
- http://www.vialoflife.com/
- Special Notes
- Order a Vial of Life decal for your front door. The decal informs Emergency Medical Services team a DNR has been prepared and can be found in your refrigerator.
Tagged as:
alaska comfort one,
Alaska DNR bracelet,
Alaska do not resuscitate,
do not resuscitate (DNR)
