Do Not Resuscitate (DNR)

This is a document that informs emergency medical personnel and hospital emergency personnel to NOT resuscitate you. Also known as a Pre-Hospital Medical Care Directive.

You are asking emergency personnel to NOT use equipment, drugs, or devices to restart your heart or your breathing.

This document must be on letter-sized ORANGE-colored paper or wallet-sized ORANGE-colored paper to be valid and you must attach your picture or complete your personal information with your physical description.

This document must be signed by you in front of a witness and it must be signed by your witness and health care provider.

You can purchase a Do Not Resuscitate (DNR) from our office, for free!

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Mailing Address:
PO Box 458 Mesa, AZ 85211

Business Hours
9:00 am – 5:00 pm (M-T)
9:00 am – 12:00 pm (F)