Uniform Do-Not-Resuscitate Advance Directive Form

Advance Directives

The Illinois Department of Public Health (IDPH) provides a Uniform Do-Not-Resuscitate (DNR) Advance Directive form that offers Illinoisans more health care options. An advance directive is a written statement you and your doctor prepare that covers how you want your medical decisions to be made in the future if you are no longer able to make them for yourself.

The IDPH form provides a greater level of specificity when it comes to decisions about cardiopulmonary resuscitation (CPR) and life support measures including being intubated, being placed on a ventilator and fed through a tube. The IDPH advance directive form also meets requirements to nationally be considered a practitioner order for life-sustaining treatment (POLST) form.