Do Not Resuscitate (DNR) Virginia

Document name

Durable Do Not Resuscitate (DDNR)

Where do you get the form

Go to  and click on the line that says “Authorize DDNR form.”

Who signs the form

The physician and the patient

Who can request a DNR

Any patient can request one from his or her physician.

How do you obtain a DDNR bracelet or necklace

You can contact one of the two approved vendors who have agreed to put the state required information on the items and require the purchaser to submit “Copy 3” of their Virginia Durable DNR Order.  Prices start at about $25.  The approved vendors are:

Oneida Nameplate Co.  877-925-2586

Appomattox Rexall  800-330-7225

For more information about obtaining an approved bracelet or necklace, go to:

Revoking a DDNR

The patient or the person authorized to consent for the patient if that person initiated the DDNR being revoked:  By destroying the Durable DNR Order or;  Removing the approved Durable DNR  bracelet or necklace or;  By verbally withdrawing the order.


A photocopy will be honored in the same way as an original.

State info link

Other link

Special notes

Order a Vial of Life decal for your front door.  The decal informs an Emergency Medical Services team that a DDNR has been prepared and can be found in your refrigerator.