New York Do Not Resuscitate (DNR) Form

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New York Do Not Resuscitate (DNR) Form

A New York do not resuscitate form allows an individual to state their wishes not to be given CPR in an emergency. This form is known as the “nonhospital order not to resuscitate,” which means it can also be signed outside of a hospital setting. Regardless of where the order was signed, medical staff must follow its instructions.

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Last updated June 15th, 2025

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A New York do not resuscitate form allows an individual to state their wishes not to be given CPR in an emergency. This form is known as the “nonhospital order not to resuscitate,” which means it can also be signed outside of a hospital setting. Regardless of where the order was signed, medical staff must follow its instructions.

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Signing Requirements

This DNR order must be signed by a physician, nurse practitioner, or physician assistant.[1]

If an individual has an intellectual or developmental disability, a physician must sign.

DNR Orders in New York 

State statutes require that a physician review whether a DNR is still appropriate for a patient’s situation at least every 90 days.[2]

Medical Orders for Life-Sustaining Treatment (MOLST) Form – This document can be created in lieu of the DNR to relay treatment preferences including ventilation, antibiotics, and CPR.

Do Not Resuscitate (Preview)

Sources

  1. § 800.90(a)
  2. § 2994-DD(4)