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Minnesota Do Not Resuscitate (DNR) Order Form

The Minnesota Do Not Resuscitate order form (DNR or DNAR) and the Physician Orders for Life-Sustaining Treatment (POLST) are used to indicate that an individual does not wish to receive CPR should they experience respiratory failure or cardiac arrest. Once issued, the document will be kept in the patient's medical record.
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  • LawsChapter 145C
  • Required to Sign – Patient (or representative) and the attending physician.

Sample