Arizona Do Not Resuscitate (DNR) Form

Arizona Do Not Resuscitate (DNR) Form

An Arizona do not resuscitate form is a medical document that instructs healthcare providers not to resuscitate a person if their heart or breathing stops. The choice to avoid these measures (such as CPR) must be communicated by the patient, or their health care power of attorney if they are unable to do so. A copy of this form should be kept with the patient after it’s completed.

Last updated June 9th, 2025

An Arizona do not resuscitate form is a medical document that instructs healthcare providers not to resuscitate a person if their heart or breathing stops. The choice to avoid these measures (such as CPR) must be communicated by the patient, or their health care power of attorney if they are unable to do so. A copy of this form should be kept with the patient after it’s completed.

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Signing Requirements

Alaska DNR forms must be signed by the patient (or their health care representative), a physician or health care provider, and a witness OR a notary.[1]

Formatting

As per state law, the DNR form must be printed with an orange background. The document may be printed on letter—or wallet-size paper.

Do Not Resuscitate (Preview)

Sources

  1. § 36-3251