Out of Hospital Do Not Resuscitate Program

The Out-of-Hospital Do-Not-Resuscitate program allows people to decide that certain resuscitative measures will not be used on them. Those resuscitative measures specifically listed in the OOH DNR legislation are cardiopulmonary resuscitation (CPR), advanced airway management, defibrillation, artificial ventilations, and transcutaneous cardiac pacing.

Out-of-Hospital Do-Not-Resuscitate Form

An OOH DNR Order form must be properly executed in accordance with the instructions on the opposite side to be considered a valid form by emergency medical services personnel.

Specifications Regarding the Out-of-Hospital Do-Not-Resuscitate (OOH DNR) Form:

  • The OOH DNR Order form is on standard letter-size paper, 8 1/2 inches by 11 inches.
  • The form can be copied and used as an original.
  • The form should be printed with the OOH DNR Order form on the front and the instructions on the back of the sheet.
  • Copies of an executed DSHS Standard OOH DNR Order can be made and are legal, binding documents.

Print Form

Health Care Professionals

If you are distributing blank OOH DNR forms to be filled out by patients, families, and doctors, the blank form must include the OOH DNR form on one side and the instructions on the other side.  In the instructions, there is some information required by law that must be made available to the patient, family, witnesses, and doctors before the form is signed.

Emergency medical services personnel can honor an OOH DNR form that appears to have been properly executed, even if the instructions are not on the opposite side.

HONORING A DIRECTIVE DOES NOT CONSTITUTE AN OFFENSE OF AIDING SUICIDE.  A person does not commit an offense under Section 22.08, Penal Code, by withholding or withdrawing life-sustaining treatment from a qualified patient in accordance with this subchapter. (Health and Safety Code 166.047).


    Ordering Out-of-Hospital Do-Not-Resuscitate (OOH-DNR) Devices

    After completing the Texas OOH DNR Order form, the patient may obtain, at the patient's expense, an optional means of identification. The OOH DNR ID device may only be obtained after fully executing the Texas OOH DNR Order form.


    (1) An intact, unaltered, easily identifiable plastic identification OOH DNR bracelet, with the word "Texas" (or a representation of the geographical shape of Texas and the word "STOP" imposed over the shape) and the words "Do Not Resuscitate," shall be honored by qualified EMS personnel in lieu of an original OOH DNR Order form.


    (2) An intact, unaltered, easily identifiable metal bracelet or necklace inscribed with the words "Texas Do Not Resuscitate - OOH" shall be honored by qualified EMS personnel in lieu of an OOH DNR Order form. 

    Approved Manufacturers for Vinyl Bracelets

    Texas Medical Association
    ATTN: DNR form
    401 W. 15th Street
    Austin, Texas 78701
    Order line: 

    Approved Manufacturers of Metal Devices

    American Medical Identifications, Inc.
    Suite 100
    949 Wakefield
    Houston, Texas 77018

    MedicAlert Foundation, Inc.
    101 Lander Ave
    Turlock, California 95380

    Caring Advocates
    2730 Argonauta St
    Carlsbad, California 92009

    StickyJ Medical ID
    10801 Endeavour Way #B
    Seminole FL 33777
    Email: CustomerService@StickyJ.com

    Prices may vary between vendors.  Contact vendors for information.
    External links to other sites are intended to be informational and do not have the endorsement of the Texas Department of Health. These sites may also not be accessible to persons with disabilities

    Advanced Directives Links

    Out-of-Hospital Do Not Resuscitate Legislation