Do Not Resuscitate (DNR) Illinois

Document Name:

UNIFORM DO-NOT-RESUSCITATE (DNR) ADVANCE DIRECTIVE

Where do you get the form

A physician must complete the form on your behalf. To obtain a copy of the IDPH Uniform DNR Advance Directive, you may request one from your health-care professional or facility. Copies also are available on the Illinois Department of Public Health’s Web site located at www.idph.state.il.us/public/books/advin.htm.

Who signs the form

The form is signed by the physician, the patient, and two witnesses and printed on brightly cooolored ORANGE paper.

Patient Identification

There is no requirement for a patient to wear a DNR identification bracelet. EMS will honor a DNR form signed by a physician, patient and 2 witnesses.

How do you obtain a DNR bracelet

If you want to wear a DNR bracelet, you can order one from one of the linke listed below.

Revoking a DNR

The DNR order can be revoked in a variety of ways, such as by writing “VOID” in large letters across the front of the form. If you revoke a DNR order, you also should tell your family members, as well as each health-care professional and provider that has received a copy of the order. You may then choose not to have a DNR order, or you may choose to complete a new DNR order reflecting any changes you wish .

Photocopy

Photocopies of a completed IDPH Uniform DNR Advance Directive are valid.

State info link

http://tinyurl.com/ltm527

State statute link:

http://tinyurl.com/ddgby4

Other links

http://www.vialoflife.com/

DNR Bracelet links

You can elect to purchase a DNR bracelet at these links.

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. The original DNRO order MUST be printed on ORANGE paper, 8 ½ by 11.

Tagged as: DNR form, DNR Order, do not resuscitate (DNR), do not resusitate, Illinois do not resuscitate order