No CPR formAlso called a DNR (do not resuscitate) order

What it doesTells paramedics and first responders not to start CPR if your heart or breathing stops.
Who fills it inYou (or your substitute decision maker) and your doctor or nurse practitioner sign it.

Three steps

  1. Print the form, or ask your doctor or nurse practitioner for one.
  2. Sign it together at your appointment.
  3. Fold it in half and slide it into your folder’s pocket.

Get it from the official source

In your folder
HealthLink BC says people often keep it on the fridge so it is easy to see — that is what your folder is for. Keep a copy with you too.

Other forms for your folder

‹ About the Personal Emergency Health Folder