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Michigan Do Not Resuscitate (DNR) Order Form

A Michigan Do Not Resuscitate order form (DNR or DNAR) is used by an individual to alert medical providers not to administer CPR in the event of respiratory failure or cardiac arrest. In Michigan, a DNR can be issued either in consultation with a physician or for religious reasons.
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  • Laws – § 333.1051 to 333.1067
  • Required to Sign – Patient (or representative), physician, and two witnesses.

Sample