A Do Not Resuscitate (DNR) Confirmation Form allows individuals—(or their Substitute Decision-Makers) to formally consent to no cardiopulmonary resuscitation (CPR) in the event of a cardiac or respiratory arrest outside of a hospital setting. This form is used by emergency responders (such as EMS, ambulance, firefighters) and must be signed by a regulated health professional.

It is important to know that this form does not apply in hospitals or other healthcare facilities.

Effect of a DNR

Under Ontario law, emergency responders must provide resuscitation unless they are instructed not to by a regulated health practitioner, based on a valid DNR Confirmation Form.

The DNR form confirms that either:

• The patient or Substitute Decision-Maker (SDM) has consented to ‘no resuscitation’ after consultation with a healthcare professional; or
• The physician has determined CPR is not beneficial and has discussed this with the patient or SDM.

This form is a confirmation of consent and only applies during transport to a hospital, not in-hospital care.

To obtain a DNR:

1. Download the DNR Confirmation Form from the Ontario Ministry of Health website.
2. Have it signed by a regulated health care provider listed on the form.
3. Keep a copy of the signed form at the patient’s residence, where it can be presented to EMS if needed.

For wishes related to in-hospital resuscitation, patients should clearly communicate their wishes to their Substitute Decision-Maker (SDM) or Attorney for Personal Care, who is legally required to consider those instructions.

Getting the legal help you need

Wills are extremely important documents and relatively inexpensive to have prepared professionally. If you want to make sure your Will is legal and clearly expresses your wishes, you should consult a lawyer. A lawyer can also provide advice and assistance settling an estate.

								
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