- 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.
Who can request the form
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