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Kentucky Do Not Resuscitate (DNR) Order Form

The Kentucky Do Not Resuscitate order form (DNR) states that an individual does not wish to be resuscitated in the event that they experience cardiac arrest or respiratory failure. It is typically used by a person suffering from a terminal illness or serious medical condition that would worsen with the administration of CPR.
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  • Laws§ 311.623
  • Required to Sign – Patient and a notary public OR two witnesses not related to the patient.

Sample