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Texas Do Not Resuscitate (DNR) Order Form

Texas do not resuscitate (DNR) order form allows a patient to willfully decline life-saving treatment if they experience cardiac arrest or respiratory failure. The order informs emergency medical personnel that the individual does not wish to receive CPR or other treatments.
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  • Laws –  § 157.25 and Chapter 166
  • Required to Sign – Physician, patient (or representative + relative), and two witnesses (or 2nd physician).

Sample