Tag Archives: Maryland do not resuscitate order

Do Not Resuscitate (DNR) California

Document Name
Emergency Medical Services Pre-Hospital Do Not Resuscitate (DNR) form
Where do you get the form
You should get the form from a medical professional or download it here: http://www.emsa.ca.gov/Forms
Who is permitted to request a DNR

A patient with a life threatening illness or injury can request a DNR.

Who signs the form
The form is signed by the physician as well as the patient.
Patient Identification
There is no requirement for a patient to wear a DNR identification medallion.  However, California does recognize the medallion as proof of the patient having a DNR order.
How do you obtain a DNR medallion
There are currently only two state approved providers who can produce the pre-hospital DNR medallions.  They are:
Medic Alert Foundation 888-633-4298  http://www.medicalert.org
Caring Advocates 800-647-3223 http://www.caringadvocates.org
You will have to submit a copy of the DNR prior to being allowed to purchase a medallion.
Revoking a DNR
A DNR order can be revoked at any time.  Just destroy the paperwork and also notify your doctor’s office and family.
Photocopy
Photocopies of a completed DNR form are valid.
State info link

http://www.emsa.ca.gov/Forms

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.