- Laws – § 20-404
- Required to Sign – Physician, patient, and one witness. For a declaration: patient and two witnesses (or a notary public).
Sample
Nebraska Do Not Resuscitate (DNR) Order Form
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Updated June 29, 2026
A Nebraska Do Not Resuscitate (DNR) order form is placed into a patient's medical record when the patient does not wish to be resuscitated in the event of a cardiac or respiratory arrest. A DNR order form is most commonly used by individuals who suffer from a severe or terminal illness.