• Do Not Resuscitate (DNR) order is a written order by the patient’s clinician directing health care providers not to attempt resuscitation.
  • Clinician Orders for Life-Sustaining Treatment (COLST) is a clinician’s order(s) for treatment. This may include limitations on treatment or medical interventions. It may also include a DNR order.

Read the Advance Directives for Health Care Rule

DNR/COLST Clinician Order Form & Instructions

DNR/COLST orders must be issued on the form below, which includes instructions for completing the form. This does not apply to health care facilities, which may document DNR/COLST orders in the patient's record in a facility-specific manner when the patient is in their care.

The DNR/COLST form was updated in June 2022.

DNR/COLST Clinician Order Form

Approved DNR Medical ID Vendors

Individuals may wish to purchase wearable Do Not Resuscitate (DNR) identification. The Health Department has approved the following vendors:

MedicAlert® Foundation

Order online from MedicAlert

  • Average cost: $27.99 (plus shipping and handling)
  • Annual membership fee: $29.99 for first 12 months
  • Financial assistance may be available through the MedicAlert® Sponsored Service Program.

To apply for financial assistance:

  • Submit a completed MedicAlert® Foundation enrollment form to MedicAlert® AND one of the following:
  1. A statement from a state or federal agency or program attesting to the enrollee’s inability to afford the service fees OR
  2. A statement from the individual requesting the sponsorship AND proof of hardship or income from a state or federal government public assistance program, such as copy of Medicaid card, copy of food stamp program assistance, or copy of current year Social Security Disability (SSD) or Supplemental Security Income (SSI) determination letter with dollar amount. Additional proof of hardship or income may be required.
StickyJ Medical ID

Order online from StickyJ or fill out and mail their order form.

  • Average cost: $27.90 (including shipping)
  • No annual fee
  • No financial assistance