Pricing

Do Not Resuscitate (DNR) Form

A Do Not Resuscitate (DNR) Form Template helps you record your wish not to receive CPR if your heart or breathing stops. Use this free, ready-to-edit form to state your decision clearly so your family and doctors can follow it. Fill in the details, download, and sign it in minutes.

What Is a Do Not Resuscitate (DNR) Form and Why Do You Need One?

A Do Not Resuscitate form, often called a DNR, is a medical and legal document that says a person does not want CPR (cardiopulmonary resuscitation) if their heart stops or they stop breathing. It does not mean stopping all treatment. A person with a DNR can still receive medicines, pain relief, oxygen, and other care. The form usually includes the patient's name, date of birth, a clear statement of the wish, and signatures. It helps doctors, nurses, and family members respect the patient's choice at a very difficult time, and it avoids confusion in an emergency.

Why Use a Ready-Made Template Instead of Writing One Yourself

A DNR is a serious document, and writing one from scratch can leave out important details, such as who made the decision, who witnessed it, or whether a doctor has signed it. Unclear wording can lead to delays or disagreements among family members and medical staff. A ready-made DNR Form Template already includes the key sections in clear, simple language, so you only add your personal details and your wishes.

Who Should Use This DNR Form Template

This template is useful for adults who want to make their end-of-life wishes clear, especially people with a serious illness or those of advanced age. Family members, caregivers, and legal guardians can also use it when helping a loved one record their decision. Hospitals, care homes, and home nursing providers can use it as a starting point for their paperwork. It is best to discuss your choice with your doctor and family before signing.

How to Fill Out and Use This DNR Form Correctly

Start by adding your full name, date of birth, address, and the date. Next, write a clear statement that you do not wish to receive CPR if your heart or breathing stops. Add the name and contact details of your doctor, and of a family member or trusted person who knows your wishes. Sign the form in front of the required witnesses, and ask your doctor to review and sign it, as many hospitals and regions need a physician's signature for the form to be followed. Keep the original in an easy-to-find place, give copies to your family and doctor, and review it from time to time.

How to Use Agreed Templates

Start With the Template

Open the Product Agreement Template in your Agreed workspace and begin with a ready-to-use agreement structure.

Customize Agreement Details

Add or edit product details, responsibilities, pricing, deliverables, timelines, and other terms to match your agreement needs.

Review, Sign & Manage

Send the agreement for review and approval, collect signatures, and manage the completed agreement securely in Agreed.

Frequently Asked Questions.

Everything you need to know about Agreed. Can't find what you're looking for?

No. A DNR only means CPR will not be done if your heart or breathing stops. You can still receive other care, such as medicines, fluids, oxygen, and pain management, unless you say otherwise.

In many places, yes. Hospitals and emergency teams usually follow a DNR only if a licensed doctor has signed it. Rules differ by country and state, so check your local requirements or ask your doctor.

Yes. You can cancel or change your DNR at any time while you are able to make decisions. Tell your doctor and family, destroy the old copies, and sign a new form if you want a different choice.

This depends on local law. Usually a legally appointed guardian, a healthcare proxy, or the closest family member, together with the doctor, can decide based on what the patient would have wanted. It is best to record your wishes early.

Everything You Need to
Create, Send and Sign Documents

Agreed helps teams reduce delays, improve signing completion

Start Creating Now
image