Tag Archives: Alaska do not resuscitate

Do Not Resuscitate (DNR) Alaska

Document Name
Emergency Medical Services Prehospital Do Not Resuscitate Order
Where do you get the form
You can  request a copy from the State Emergency Medical Services Department.
Who signs the form
The form is signed by the physician and the patient.
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. The cost is $20.
Revoking a DNR
If you change your mind, destroy the enrollment forms, the wallet card and, if appropriate, the DNR bracelet. Also, notify your physician in writing that you have changed your mind.  If you are unable to communicate yourself, a person with a durable power of attorney can revoke the DNR status.
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.