Order a DNR medallion that lets all know you want NO attempt to resuscitate your heart and lungs but that you DO want to receive other treatment to keep you alive.
Before you can order a medallion, you must obtain and complete a State of Colorado approved form that YOU (or YOUR DESIGNATED AGENT) and YOUR PHYSICIAN must sign and return to Caring Advocates: Send your form to Caring Advocates; 2240 Encinitas Blvd. Ste. D, #334, Encinitas, CA 92024-4345 or FAX it to 888 767 6322 or scan it and attach it to an email: firstname.lastname@example.org.
If you do not have a signed form, you may download a Colorado Advance Medical Directive Form at www.caringinfo.org/files/public/ad/Colorado.pdf or download a Colorado Medical Orders for Scope of Treatment (MOST) Form atwww.coloradoadvancedirectives.com/MOST_Form_08.11.10.pdf or download the State of Colorado Patient's or Authorized Agent's Directive to Withhold Cardiopulmonary Resuscitation (CPR) Form at www.cdphe.state.co.us/em/Operations/CPRDirectives/template.pdf.
Caring Advocates will not engrave an ID without the following items:
1) DNR/POLST/MOLST/COLST Policy
A signed copy of your DNR/POLST/MOLST/COLST form. This form will be kept on file and available if and when needed 24/7. Send your form to Caring Advocates; 2240 Encinitas Blvd. Ste. D, #334, Encinitas, CA 92024-4345 or FAX it to 888 767 6322 or scan it and attach it to an email: email@example.com.
2) A completed Medallion Order form: CLICK HERE to complete your DNR Registry Medallion Order Form (.pdf) to print and mail OR email.