Connecticut Do Not Resuscitate (DNR) Form

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Connecticut Do Not Resuscitate (DNR) Form

A Connecticut do not resuscitate form allows patients to alert health care professionals that they do not wish to receive CPR or other interventions if they suffer from cardiac or respiratory arrest. This order is typically implemented when a patient has a terminal illness or is in a state where resuscitative measures may be less effective or even harmful.

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Last updated June 9th, 2025

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A Connecticut do not resuscitate form allows patients to alert health care professionals that they do not wish to receive CPR or other interventions if they suffer from cardiac or respiratory arrest. This order is typically implemented when a patient has a terminal illness or is in a state where resuscitative measures may be less effective or even harmful.

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Signing Requirements

The patient’s physician or an APRN must sign the DNR form.[1]

The physician must discuss the consequences of the DNR with the patient or, if the patient is incapacitated, their authorized representative (health care agent, guardian, attorney-in-fact, etc.).

Department of Health

Transfers

In Connecticut, DNR forms are provided by health care facilities, as there is no state-wide form. If the patient is being transferred between facilities, the official Department of Health Transfer of Do Not Resuscitate Order must be completed and sent with the transferred patient.

Identifiers

A DNR bracelet is the only valid identifier for patients with an existing DNR order.[2] These are offered in metal or plastic and must be ordered by the patient’s attending physician.

Do Not Resuscitate (Preview)

Sources

  1. § 19a-580d(a)
  2. § 19a-580d-4(a)