- Note: The document available below is a sample application used to enroll in the West Virginia POST program.
- Laws – § 16-30C
- Required to Sign (POST) – Patient (or representative) and MD/DO/APRN.
Sample
West Virginia Do Not Resuscitate (DNR) Order Form – Sample Only
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Updated June 29, 2026
The West Virginia Do Not Resuscitate (DNR) order form informs medical professionals of an individual's desire not to receive CPR if they experience cardiac or respiratory failure. West Virginia has enrolled in the POST program, which allows patients to define their preferred end-of-life treatments. A POST form is similar to a DNR.