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Connecticut Do Not Resuscitate (DNR) Order Form

A Connecticut do not resuscitate order form (DNR) alerts medical personnel that they should not perform resuscitative procedures on the individual who requested the order in the event that they stop breathing or experience heart failure. In Connecticut, bracelets are the only valid method to identify an individual's DNR order.
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  • Laws§ 19a-580d
  • Required to Sign – Patient and physician.

Sample