Illinois Do Not Resuscitate (DNR) Form

Illinois Do Not Resuscitate (DNR) Form

An Illinois do not resuscitate form enables patients to reject life-sustaining treatments when they suffer from cardiac or respiratory arrest. In addition to declining CPR and similar rescuscitation measures, the patient can use a POLST form to indicate other medical intervention preferences, such as intubation, mechanical ventilation, antibiotics, and artificial nutrition and hydration.

Last updated June 6th, 2025

An Illinois do not resuscitate form enables patients to reject life-sustaining treatments when they suffer from cardiac or respiratory arrest. In addition to declining CPR and similar rescuscitation measures, the patient can use a POLST form to indicate other medical intervention preferences, such as intubation, mechanical ventilation, antibiotics, and artificial nutrition and hydration.

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Signing Requirements

An Illinois Practitioner Order for Life-Sustaining Treatment (POLST) form must be signed by the patient or their representative and a qualified health care practitioner.[1]

Do Not Resuscitate (Preview)