Iowa Do Not Resuscitate (DNR) Form

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Iowa Do Not Resuscitate (DNR) Form

An Iowa do not resuscitate form enables patients with terminal diagnoses to instruct medical professionals not to revive them should they go into cardiac or respiratory arrest. The patient may receive other medical interventions, but no CPR or similar resuscitative measures will be administered. The patient’s physician must explain the implications of this form before signing.

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Last updated July 8th, 2025

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An Iowa do not resuscitate form enables patients with terminal diagnoses to instruct medical professionals not to revive them should they go into cardiac or respiratory arrest. The patient may receive other medical interventions, but no CPR or similar resuscitative measures will be administered. The patient’s physician must explain the implications of this form before signing.

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Signing Requirements

The patient’s attending physician must sign the Iowa Out-of-Hospital Do-Not-Resuscitate Order.[1]

Out-of-Hospital

The document provided is an out-of-hospital DNR form, which emergency medical personnel will adhere to in any setting outside of a hospital. However, hospital staff can legally follow the order if it complies with state law and established hospital policies and protocols.[2]

When admitted to a health facility, the patient’s physician can update their medical record to include a DNR, or the physician and patient can discuss and complete the IPOST form.

Do Not Resuscitate (Preview)

Sources

  1. § 144.7A(3)(e)
  2. § 144.7A(11)