Oklahoma Do Not Resuscitate Consent Form Guide
This document provides essential information about the Do Not Resuscitate (DNR) consent form in Oklahoma. It outlines the process of completing the DNR form, its significance, and instructions on how to fill it out correctly. This guide is crucial for individuals who want to make informed decisions regarding their end-of-life care.
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How do I fill this out?
To fill out the DNR consent form, first ensure you understand its implications. Next, gather the necessary information and signatures from the required witnesses. Finally, submit the form according to the outlined instructions for it to be valid.

How to fill out the Oklahoma Do Not Resuscitate Consent Form Guide?
1
Read the DNR information sheet thoroughly.
2
Gather two witnesses aged 18 or older for signatures.
3
Ensure the form is signed in the presence of the witnesses.
4
Display the completed form prominently in your home.
5
Consult with family members about your decision.
Who needs the Oklahoma Do Not Resuscitate Consent Form Guide?
1
Individuals diagnosed with terminal conditions need this form to communicate their wishes regarding resuscitation.
2
Patients undergoing severe medical treatments often require a DNR to specify their end-of-life care.
3
Elderly individuals looking to outline their medical preferences may benefit from a DNR consent form.
4
Individuals proactive in planning for emergency medical situations will find this form useful.
5
Family members of those with health concerns should have a DNR on file.
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What are the instructions for submitting this form?
To submit the DNR consent form, you can mail it to the Oklahoma Department of Health at 217 N. E. 30th Street, Oklahoma City, OK 73105. Alternatively, fax the completed form to 405-528-4991. Be sure to provide complete contact information to facilitate any follow-ups.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, be aware of any changes to healthcare regulations that may affect the completion of the DNR consent form. It is advisable to check for updates from the Oklahoma Department of Health and to ensure the form remains valid throughout any healthcare transitions.

What is the purpose of this form?
The primary purpose of the DNR consent form is to communicate an individual's wish to forgo resuscitation efforts in the event of cardiac or respiratory arrest. This form empowers individuals to make informed decisions about their end-of-life care based on their personal beliefs and values. By filling out this form, patients can have peace of mind knowing their preferences will be respected by medical professionals.

Tell me about this form and its components and fields line-by-line.

- 1. Patient Identification: Includes the name, date of birth, and contact information of the individual.
- 2. Witness Signatures: Requires signatures from two witnesses who confirm the authenticity of the signing.
- 3. Patient's Signature: The individual's signature indicating their consent to the DNR.
- 4. Certification of Physician: A section for physicians to certify the patient's wishes regarding resuscitation.
What happens if I fail to submit this form?
Failure to submit the DNR consent form may result in emergency medical personnel proceeding with standard resuscitation protocols. This can lead to unwanted medical interventions that contradict the patient's wishes. Hence, timely submission of the DNR form is essential to ensure that medical care aligns with the individual's preferences.
- Unwanted Resuscitation: Medical personnel will not be able to honor the patient's wish to avoid resuscitation.
- Emotional Stress: The patient's family may face added stress and confusion during critical moments.
- Legal Issues: Failure to provide clear documentation can lead to legal disputes regarding the patient's desires.
How do I know when to use this form?

- 1. Terminal Illness: Individuals diagnosed with a terminal illness may fill out the DNR to prevent unwanted resuscitation.
- 2. Severe Health Decline: Patients experiencing a severe decline in health may need this form for clarity in emergencies.
- 3. End-of-Life Planning: Those engaged in end-of-life planning should consider using the DNR to convey their wishes.
Frequently Asked Questions
How do I access the DNR consent form?
You can access the DNR consent form directly from our website and download it for use.
What do I need to fill out the DNR form?
You need to gather personal information and signatures from two witnesses.
Is a physician's signature required?
No, a physician's signature is not required for the DNR form.
Can I edit the PDF after downloading?
Yes, you can edit the PDF using PrintFriendly before downloading.
What if I change my mind about the DNR form?
You can revoke or modify your DNR form at any time as long as you communicate your wishes clearly.
Is the DNR form portable?
Yes, once completed, the DNR form is portable and must be honored by medical personnel.
Where should I keep my DNR form?
It's recommended to display the DNR form prominently in your home, such as on your refrigerator.
What happens if I don't sign the form?
If you don't sign the form, medical personnel will proceed with resuscitation as per usual protocol.
Can someone else sign the DNR on my behalf?
Yes, a designated representative can sign the DNR if you've designated one.
Where can I find more information about DNR consent?
Further information can be obtained from the Oklahoma Department of Health.
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