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Illinois Do Not Resuscitate (DNR) Order Form

An Illinois Do Not Resuscitate order form (DNR) ensures that medical providers do not attempt CPR on an individual should the need arise. Illinois has integrated the DNR into the all-encompassing Practitioner Orders for Life-Sustaining Treatment (POLST) form. Patients should use the POLST form as it is now the more widely accepted order.
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  • Laws755 ILCS 40/65
  • Required to Sign – Patient, physician and one witness.

Sample