Press Release
March 14, 2013
Melaney Arnold (217) 558-0500

New Uniform Do-Not-Resuscitate Advance Directive Form Available

Citizens now have more options in treatment level

SPRINGFIELD – The Illinois Department of Public Health (IDPH) created a new 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, about how you want your medical decisions to be made in the future if you are no longer able to make them for yourself. The new IDPH form adds a greater level of specificity when it comes to decisions about cardiopulmonary resuscitation (CPR) and life support measures including being intubated, placed on a ventilator and fed through a tube. The new IDPH advance directive form also meets requirements to nationally be considered a physician orders for life-sustaining treatment (POLST) form.

“Completing an IDPH Uniform DNR Advance Directive lets doctors, nurses and EMTs know what health care services you would like to receive if you are not able to tell them – for example, if you suffer a stroke or heart attack and your heart stops beating or you stop breathing,” said state health department director Dr. LaMar Hasbrouck. “The new form goes into greater detail about what level of care you would like and under what conditions you would receive it. Make sure to talk with your family and health care provider before completing an advance directive.”

Hospitals, nursing homes and emergency medical services personnel in your residence or en route to a health-care facility are required to honor an advance directive. Older versions of the directive that have already been properly executed are still, and will continue to be, valid.

Things to should consider when completing an advance directive include:

  • Your medical condition and related medical considerations
  • CPR in the event of an unforeseen accident (such as a car crash or choking on food)
  • Quality of life issues before and after CPR
  • Use of CPR during surgery or other medical procedure
  • Use of a mechanical ventilator

For more information about the IDPH Uniform Do Not Resuscitate Advance Directive, log onto

idph online home
idph online home

Illinois Department of Public Health
535 West Jefferson Street
Springfield, Illinois 62761
Phone 217-782-4977
Fax 217-782-3987
TTY 800-547-0466
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