Official Do Not Resuscitate Order Form for Georgia

A Georgia Do Not Resuscitate Order (DNR) form is a legal document that allows individuals to refuse resuscitation efforts in the event of a medical emergency. This form ensures that your wishes regarding end-of-life care are respected by healthcare providers. If you want to take control of your healthcare decisions, consider filling out the DNR form by clicking the button below.

Fill Out Do Not Resuscitate Order Here

The Georgia Do Not Resuscitate Order (DNR) form serves as a critical document for individuals who wish to express their preferences regarding medical treatment in emergency situations. This form is specifically designed for patients who do not want cardiopulmonary resuscitation (CPR) or other life-sustaining measures if their heart stops or they stop breathing. It is important to understand that the DNR order must be completed by a physician, ensuring that it reflects the patient's wishes and medical condition. Additionally, the form requires the patient's signature or the signature of a legally authorized representative, which adds a layer of legal validity to the document. Once executed, the DNR order must be readily available to medical personnel, as it guides their actions during emergencies. The form also emphasizes the necessity of discussing these decisions with family members and healthcare providers, fostering open communication about end-of-life care. Understanding the implications of a DNR order can help individuals make informed choices that align with their values and preferences.

Document Specifics

Fact Name	Details
Definition	A Do Not Resuscitate (DNR) Order in Georgia is a legal document that instructs medical personnel not to perform cardiopulmonary resuscitation (CPR) if a patient's heart stops or if they stop breathing.
Governing Law	The Georgia Do Not Resuscitate Order is governed by the Georgia Code, specifically O.C.G.A. § 31-39-1 through § 31-39-7.
Eligibility	Any adult who is capable of making their own medical decisions can create a DNR order. Additionally, a parent or legal guardian can create one for a minor.
Form Requirements	The DNR order must be signed by the patient or their authorized representative and a physician. It should be printed on a specific form recognized by Georgia law.

Key takeaways

Filling out and using the Georgia Do Not Resuscitate (DNR) Order form is an important step for individuals who wish to express their healthcare preferences. Here are key takeaways to consider:

The DNR Order form must be completed and signed by a physician.
It is essential to discuss your wishes with family members and healthcare providers.
The form should be easily accessible, ideally kept in a visible location at home or with medical records.
Georgia law requires the DNR Order to be honored by emergency medical personnel.
Patients can revoke the DNR Order at any time, and it must be documented.
Consider reviewing the form regularly, especially if your health status changes.
Consult with legal or medical professionals if you have questions about the implications of the DNR Order.

Understanding these points can help ensure that your healthcare preferences are respected and followed. Taking the time to complete the DNR Order thoughtfully can provide peace of mind for you and your loved ones.

Georgia Do Not Resuscitate Order Example

Georgia Do Not Resuscitate Order

This Do Not Resuscitate (DNR) Order is effective in the state of Georgia and is in accordance with Georgia law O.C.G.A. § 31-39.

Patient Information:

Name: ________________________________
Date of Birth: ______________________
Address: _____________________________

Authority to Execute DNR Order:

Name of Authorized Person: ________________________________
Relationship to Patient: ________________________________
Contact Number: ________________________________

Certification: I, the undersigned physician, certify that the above-named patient has an advanced directive, and I have discussed the implications of a Do Not Resuscitate order with them or their authorized representative.

Physician Information:

Name: ________________________________
Medical License Number: ________________________________
Contact Information: ________________________________

Signatures:

Patient or Authorized Person Signature: ________________________________ Date: _____________
Physician Signature: ________________________________ Date: _____________

It is important to discuss this DNR order with family members and healthcare providers to ensure your wishes are clear. Keep copies of this order in accessible locations.

Important Facts about Georgia Do Not Resuscitate Order

What is a Do Not Resuscitate (DNR) Order in Georgia?

A Do Not Resuscitate Order is a legal document that allows individuals to refuse certain life-saving treatments, specifically cardiopulmonary resuscitation (CPR), in the event of a medical emergency. In Georgia, this order is intended for patients who wish to avoid resuscitation in situations where their heart stops or they stop breathing.

Who can complete a DNR Order in Georgia?

In Georgia, a DNR Order can be completed by an adult patient who is capable of making their own medical decisions. If the patient is unable to make decisions, a legally authorized representative, such as a family member or healthcare proxy, may complete the order on their behalf.

How do I obtain a DNR Order form in Georgia?

You can obtain a DNR Order form from various sources, including healthcare providers, hospitals, or online through the Georgia Department of Public Health website. It is essential to ensure that the form is the official state version to ensure its validity.

What information is required on the DNR Order form?

The DNR Order form typically requires the patient’s name, date of birth, and a statement of their wishes regarding resuscitation. It also needs to be signed by the patient or their authorized representative and a physician. The physician's signature confirms that the patient has discussed their wishes regarding resuscitation.

Is a DNR Order valid in all healthcare settings in Georgia?

Yes, a properly completed DNR Order is valid in all healthcare settings in Georgia, including hospitals, nursing homes, and at home. However, it is crucial to ensure that the order is easily accessible to healthcare providers in case of an emergency.

Can a DNR Order be revoked or changed?

Yes, a DNR Order can be revoked or changed at any time by the patient or their authorized representative. To revoke the order, the individual should inform their healthcare provider and destroy any copies of the DNR form. It’s advisable to create a new order if changes are made.

What should I do if I have a DNR Order?

Keep a copy of your DNR Order in a place where it can be easily found. Inform your family members, caregivers, and healthcare providers about your wishes. Consider discussing your decision with them to ensure everyone understands your preferences regarding resuscitation.

Can a DNR Order affect other medical treatments?

A DNR Order specifically addresses resuscitation efforts and does not impact other medical treatments. Patients with a DNR Order can still receive appropriate medical care, including pain management and other interventions, as directed by their healthcare team.

Documents used along the form

The Georgia Do Not Resuscitate (DNR) Order form is an important document for individuals wishing to express their preferences regarding resuscitation efforts in the event of a medical emergency. In addition to the DNR form, several other documents are often used to ensure that a person's healthcare wishes are clearly understood and respected. Below is a list of related forms and documents.

Advance Directive for Health Care: This document allows individuals to specify their healthcare preferences in advance, including decisions about medical treatments and appointing a healthcare agent to make decisions on their behalf if they become unable to do so.
Motor Vehicle Bill of Sale: To complete the transaction for buying or selling a vehicle, you can download and submit the form, ensuring that all necessary details are properly recorded.
Living Will: A living will outlines an individual's wishes regarding medical treatment in situations where they are terminally ill or permanently unconscious. It provides guidance on life-sustaining treatments and other healthcare decisions.
Durable Power of Attorney for Health Care: This legal document designates a person to make healthcare decisions for someone else if they are unable to communicate their wishes. It grants authority to the appointed individual to act in the best interest of the patient.
Physician Orders for Life-Sustaining Treatment (POLST): The POLST form is a medical order that reflects a patient's preferences for treatment in emergency situations. It is designed for individuals with serious illnesses and is recognized by healthcare providers as a guide for care.

These documents work together to provide comprehensive guidance on a person's healthcare preferences. It is essential for individuals to discuss their wishes with family members and healthcare providers to ensure that their intentions are understood and honored.

Consider More Do Not Resuscitate Order Forms for US States

What Is a Dnr in Medical Terms - Be sure to review your DNR Order at various stages of life, as your wishes may evolve.

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What Is Dnr - Understanding a DNR helps families make informed decisions during critical health situations.

Dos and Don'ts

When filling out the Georgia Do Not Resuscitate Order form, it is important to follow certain guidelines to ensure the document is completed correctly. Here is a list of things to do and avoid:

Do ensure that the form is signed by the patient or their authorized representative.
Do include the date on which the order is signed.
Do provide clear and accurate information about the patient's medical condition.
Do keep a copy of the completed form for personal records.

Don't leave any sections of the form blank; complete all required fields.
Don't use the form without verifying that it meets current state requirements.
Don't forget to inform family members and healthcare providers about the order.
Don't assume verbal agreements are sufficient; always use the official form.