DNR (Do Not Resuscitate) Form Template for Midwifery Practices

Our DNR (Do Not Resuscitate) Form Template for Midwifery Practices is a comprehensive and easy-to-use document designed to help midwives and their clients establish clear guidelines regarding resuscitation preferences during labor, delivery, and the immediate postpartum period. This customizable form allows families to express their wishes for medical interventions, ensuring that care is aligned with their values and preferences while respecting both legal and ethical boundaries.

This template is crafted to meet the needs of midwifery practices, providing a clear framework for handling life-sustaining decisions in a compassionate and professional manner. It enables midwives to document specific DNR orders for the birthing person and newborn, covering a variety of scenarios, from CPR and advanced cardiac life support (ACLS) to decisions around artificial nutrition, hydration, and comfort care.

Key Features Include:

• Comprehensive DNR Instructions: Includes sections for both the birthing person and newborn, outlining preferences for resuscitation efforts, medications, and interventions.
• Customizable Fields: Easily tailor the document to your practice's specific needs and your clients' wishes.
• Witness Signature Section: Optional field to include a witness, ensuring the process is transparent and legally binding.
• Liability Protection: Clear language regarding the liability of the midwifery practice and a release of responsibility for non-resuscitation decisions.
• Review and Update Section: Allows for periodic review of the document to ensure it reflects current wishes.
• Ethical and Legal Compliance: Aligns with local and state-specific guidelines for DNR orders in midwifery care settings.

Key Features:

• Easy to Edit: Customize the template with your practice’s information and specific terms.
• Print-Ready: Once edited, you can print the document for physical use and signature.
• Fax-Friendly: Designed for easy faxing to clients or healthcare providers.
• Email-Friendly: Can be shared digitally, making it simple to communicate and formalize agreements remotely.

How It Works:

1. Purchase the DNR Form Template for Midwifery Practices.
2. Edit the template in Microsoft Word by adding your business name, contact details, and personalized terms.
3. Save and print the updated DNR form to formalize agreements with clients.

PLEASE NOTE:

• Personal Use Only: This template is for personal use only and cannot be resold, redistributed, or shared.
• Digital Product: This is a digital download; no physical product will be shipped.
• All Sales Are Final: Due to the nature of digital products, all sales are non-refundable.