Out-of-Hospital Do-Not-Resuscitate (OOH-DNR) Order

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Effective Date

10/2023

OOH DNR (English PDF)
- Frequently Asked Questions (English PDF)
OOH DNR (Spanish PDF)
- Frequently Asked Questions (Spanish PDF)

Instructions

Updated: 5/2026

Purpose

An OOH DNR Order form must be properly executed in accordance with the instructions on the opposite side to be considered a valid form by emergency medical services personnel.

Filling Out the Form

View information and step-by-step instructions on properly completing the OOH DNR form.

English (PDF)
Spanish (PDF)