DNR / DNI PLANNING PACKET
A Do Not Resuscitate (DNR) order tells medical professionals not to perform CPR if your heart stops or you stop breathing. A Do Not Intubate (DNI) order addresses whether a breathing tube and mechanical ventilation should be used. These choices are serious medical decisions—not just paperwork—and should be discussed with your physician and the people most likely to be involved in your care.
This planning packet provides state-by-state guidance and fillable worksheets to help you document your preferences and prepare for a conversation with a licensed healthcare professional. In many states, a patient-completed worksheet is not itself a valid medical order. A physician or other authorized clinician may need to sign the official state form, POLST, MOLST, MOST, or equivalent document.
Download the fillable 50-state DNR / DNI Planning Packet below.
DNR / DNI Planning Packet
A Do Not Resuscitate (DNR) order tells medical professionals not to perform CPR if your heart stops or you stop breathing. A Do Not Intubate (DNI) order addresses whether a breathing tube and mechanical ventilation should be used. These choices are serious medical decisions—not just paperwork—and should be discussed with your physician and the people most likely to be involved in your care.
Before you use it.
This planning packet provides state-by-state guidance and fillable worksheets to help you document your preferences and prepare for a conversation with a licensed healthcare professional. In many states, a patient-completed worksheet is not itself a valid medical order. A physician or other authorized clinician may need to sign the official state form, POLST, MOLST, MOST, or equivalent document.