Georgia Do Not Resuscitate (DNR) Form

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Georgia Do Not Resuscitate (DNR) Form

A Georgia do not resuscitate form identifies a patient who has chosen not to receive CPR in the event of respiratory or cardiac arrest. It is typically reserved for individuals whose doctor has determined that resuscitation would likely be unsuccessful or could result in further complications.

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Last updated July 29th, 2025

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A Georgia do not resuscitate form identifies a patient who has chosen not to receive CPR in the event of respiratory or cardiac arrest. It is typically reserved for individuals whose doctor has determined that resuscitation would likely be unsuccessful or could result in further complications.

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Signing Requirements

The patient’s physician must sign this DNR form. The patient or their authorized representative must consent to the execution of the form.[1]

Out-of-Hospital

This directive is an “out-of-hospital” form in that it applies only to patients not currently admitted to a nursing home, hospice facility, or hospital. The form or an identifying bracelet should be kept on or nearby the patient so EMS can easily see it.

POLST Form

Patients who wish to indicate other medical interventions and artificial nutrition options in addition to a DNR can use the more comprehensive Physician’s Orders for Life-Sustaining Treatment form.

Do Not Resuscitate (Preview)

Sources

  1. § 31-39-6.1(a)