What will be needed PRIOR to ordering a DNR Medallion from Caring Advocates:

Ordering a DNR medallion 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 your State approved DNR form that YOU (or YOUR DESIGNATED AGENT) and YOUR PHYSICIAN must sign.  A copy of this form must be sent to Caring Advocates, 45 Bulkley Ave. #4, Sausalito, CA 94965-2224 or FAX it to 888 767 6322 or scan it and attach it to an email: medallions@caringadvocates.org

You can obtain one of the two forms that you (or your surrogate) and your physician must sign from:

1. A valid original State approved DNR (Do Not Resuscitate) form which can either be obtain from your physician or your State's Department of Health website.


2. A valid original "Physician Orders for Life Sustaining Treatment (POLST) Form also known as POST/MOLST/MOST/COLST." More information is available at the web site http://www.polst.org/ where all state forms can be downloaded and completed.