Michigan Do Not Resuscitate (DNR) Form

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Michigan Do Not Resuscitate (DNR) Form

A Michigan do not resuscitate form is used by an individual to prevent CPR from being performed on them if they are incapacitated. The individual may complete this form after discussing their health condition with their physician. Once executed, the document is valid both within and outside health facilities.

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Last updated June 16th, 2025

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A Michigan do not resuscitate form is used by an individual to prevent CPR from being performed on them if they are incapacitated. The individual may complete this form after discussing their health condition with their physician. Once executed, the document is valid both within and outside health facilities.

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Signing Requirements

The patient (or their advocate), two witnesses (at least one must not be the patient’s spouse, parent, grandparent, sibling, child, or heir), and their physician must sign this DNR order.[1]

A physician’s signature is not required if the patient’s religion prohibits medical intervention.[2]

Do Not Resuscitate (Preview)

Michigan Physician Orders for Scope of Treatment (MI-POST) Form – Provides health care facilities with a patient’s instructions regarding medical treatment.

Do-Not-Resuscitate Order (Religious Exemption) – For patients who do not wish to be resuscitated for religious reasons. Unlike a standard DNR order, this form does not require a physician’s signature.

Sources

  1. § 333.1053
  2. § 333.1055