Do Not Resuscitate (DNR) Michigan

Document Name: Do Not Resuscitate Order
Where do you get the form: Physicians should have copies of the form. You can also get a copy at most hospices or download one here:; http://michigan.gov/documents/mdch/Do_not_resuscitate.policy_298357_7.pdf
Who signs the form: A physician must sign the DNR. However, people whose religion opposes medical treatment don’t need a doctor’s signature.

It may be requested by any individual 18 years or over.

Patient Identification: EMS will act based uon the information contained in the DNR.
How do you obtain a DNR bracelet: Once you have your DNR form completed, you can call the Michigan Hospice and Palliative Care Organization at 800-536-6300 to request a bracelet.
Revoking a DNR: You can revoke a DNR by tearing up the DNR form and returning any DNR identification bracelets.
Photocopy: A photocopy is considered an authentic document.
State info link: http://michigan.gov/mdch/0,4612,7-132-2940_3183_4895-19875–,00.html
Other link: http://www.vialoflife.com
DNR Bracelet links: You must call the Michigan Hospice and Palliative Care Organization at 800-536-6300.
Special Notes

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