Pre-Hospital Do Not Resuscitate (DNR) Request Form

This form may be signed prior to a hospitalization to make clear your wishes in certain health care situations. A copy should be provided to the hospital, at admission. You may also wish to provide one to your primary doctor.

The form, attached below, is fillable.

Last updated on May 10, 2024.

Power of Attorney, Advance Directives, Health Care Power of Attorney, Do Not Resuscitate (DNR) Orders

do not resuscitate

Files

Do Not Resuscitate request (DNR) fillable form_0.pdf

NEWS

News & publications

The news about recent activities for needed peoples.

More News

30 Oct 2024

Job Opportunities at Kansas Legal Services

ATTORNEY - EMPORIAKLS – Emporia seeks a staff attorney to provide general legal…

22 Oct 2024

A Kansas legal nonprofit makes a big economic impact with pro bono expungement help

From KCUR FM 91.5 Up to Date, October 21, 2024By Steve Kraske, Zach…

Our Partners

LSC's support for this website is limited to those activities that are consistent with LSC restrictions.