Illinois Do Not Resuscitate (DNR) Form

Illinois Do Not Resuscitate (DNR) Form

An Illinois do not resuscitate form enables patients to record their preferences for life-sustaining treatments in the event of cardiac or respiratory arrest. In addition to declining CPR, patients can use the POLST form to indicate their wishes regarding intubation, mechanical ventilation, antibiotics, and artificial nutrition and hydration.

Last updated July 7th, 2025

An Illinois do not resuscitate form enables patients to record their preferences for life-sustaining treatments in the event of cardiac or respiratory arrest. In addition to declining CPR, patients can use the POLST form to indicate their wishes regarding intubation, mechanical ventilation, antibiotics, and artificial nutrition and hydration.

  1. Home »
  2. Do Not Resuscitate (DNR) Forms »
  3. Illinois

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)