Printable Do Not Resuscitate Order Form for the State of Arizona

Filling out and using the Arizona Do Not Resuscitate Order (DNR) form is an important process for individuals wishing to express their healthcare preferences. Here are key takeaways to consider:

• The DNR form must be completed and signed by a licensed physician to be valid.
• Ensure that the patient or their legal representative understands the implications of the DNR order.
• Keep copies of the DNR order in accessible locations, such as with medical records and at home.
• Communicate the existence of the DNR order to all healthcare providers involved in the patient's care.
• Review and update the DNR order regularly to ensure it reflects the patient’s current wishes.

When considering end-of-life decisions, it’s essential to have the right documents in place. In Arizona, a Do Not Resuscitate (DNR) Order is just one part of a broader set of forms that can help ensure your healthcare wishes are honored. Here are other important documents you may want to consider alongside the DNR Order.

• Advance Directive: This document outlines your preferences for medical treatment if you become unable to communicate. It can specify what types of care you do or do not want.
• Healthcare Power of Attorney: This allows you to designate someone to make medical decisions on your behalf if you are incapacitated. It’s crucial to choose someone you trust.
• Living Will: A living will is a specific type of advance directive that details your wishes regarding life-sustaining treatment in terminal situations.
• Physician Orders for Life-Sustaining Treatment (POLST): This form translates your treatment preferences into actionable medical orders, ensuring that your wishes are followed by healthcare providers.
• Do Not Intubate (DNI) Order: Similar to a DNR, a DNI order specifies that you do not want to be placed on a ventilator if you cannot breathe on your own.
• Organ Donation Consent: This document expresses your wishes regarding organ donation after death, ensuring that your intentions are clear to your family and medical team.
• Funeral Planning Documents: These documents can include your wishes for burial or cremation, preferred funeral home, and any specific arrangements you want to be made.
• Independent Contractor Agreement: This form is essential for those looking to establish formal working relationships in Arizona. It lays out clear terms and conditions for the service provider and client, addressing crucial aspects such as the scope of work, payment terms, and responsibilities. For additional resources, see All Arizona Forms.
• Emergency Medical Information Form: This form provides critical information about your medical history, medications, and allergies, which can be invaluable in an emergency situation.

Having these documents prepared can provide peace of mind for you and your loved ones. It ensures that your healthcare preferences are respected and reduces the burden on family members during difficult times. Make sure to discuss these options with your healthcare provider and loved ones to ensure everyone is informed and prepared.

• Living Will: This document outlines a person's wishes regarding medical treatment in situations where they cannot communicate. Like a Do Not Resuscitate Order, it provides guidance on end-of-life care.
• Health Care Proxy: This allows an individual to appoint someone to make medical decisions on their behalf. It complements a DNR by ensuring that someone knows and respects the patient's wishes.
• Power of Attorney for Health Care: This legal document grants someone the authority to make health care decisions for another person. It works alongside a DNR to ensure that medical choices align with the patient's preferences.
• Physician Orders for Life-Sustaining Treatment (POLST): This form translates a patient's preferences into actionable medical orders. It is similar to a DNR in that it addresses specific treatments and interventions.
• Advance Directive: This is a broader term that encompasses both living wills and health care proxies. It provides a comprehensive approach to expressing one's medical preferences.
• Do Not Intubate Order: This document specifically instructs medical personnel not to place a patient on a ventilator. It is a more focused directive, similar to a DNR in its intent to limit aggressive treatment.
• Comfort Care Order: This directive emphasizes the importance of comfort and palliative care rather than curative treatments. It aligns with the goals of a DNR by prioritizing quality of life.
• Marital Separation Agreement: The California Marital Separation Agreement is essential for couples transitioning to living apart while remaining legally married. It delineates asset division, debt responsibility, and child custody. For comprehensive resources, refer to All California Forms.
• Emergency Medical Services (EMS) Do Not Resuscitate Order: This specific form is used by emergency responders to honor a patient's DNR wishes in pre-hospital settings, mirroring the intent of a standard DNR.

1. Not Understanding the Purpose: Many individuals fill out the form without fully grasping its implications. A Do Not Resuscitate (DNR) order is a legal document that instructs medical personnel not to perform CPR in case of cardiac arrest. It’s crucial to understand that this decision impacts emergency medical care.

2. Inaccurate Personal Information: Filling out the form with incorrect personal details can lead to confusion during a medical emergency. Ensure that your name, date of birth, and other identifying information are accurate and up-to-date.

3. Missing Signatures: A common oversight is neglecting to sign the document. The form must be signed by the patient or their legal representative to be valid. Without a signature, the order cannot be honored by healthcare providers.

4. Not Discussing with Healthcare Providers: Failing to have a conversation with your doctor or healthcare team can lead to misunderstandings. Discussing your wishes ensures that everyone involved understands your preferences and the medical context behind them.

5. Not Keeping Copies Accessible: After completing the form, it’s essential to keep copies in accessible locations. Share copies with family members, caregivers, and your healthcare provider to ensure that your wishes are known and can be acted upon when necessary.