Out of Hospital Do Not Resuscitate Program


The Out-of-Hospital Do-Not-Resuscitate program allows people to decide that they do not want to be resuscitated. The program allows people to declare 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.


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Out-of-Hospital Do-Not-Resuscitate Form
OOH-DNR Devices
OOH-DNR Information and links
Contact us


Out-of-Hospital Do-Not-Resuscitate form

The form can be downloaded from the web

OOH-DNR foorms can also be ordered from the Texas Medical Association at:
Texas Medical Association
ATTN: DNR form
401 West 15th Street
Austin, Texas 78701-1680
(512) 370-1306 -- Recorded information concerning the prices of the DNR form and bracelets               

Specifications regarding the 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.




Ordering 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. A recent amendment to 25 TAC 157.25 gives consumers greater choice in Texas OOH DNR identification devices by allowing more businesses to offer identification devices. The amendment now requires:

(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. 

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.

Approved manufacturers for vinyl bracelets

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

Approved manufacturers for metal devices

American Medical Identifications, Inc.
Suite 100
949 Wakefield
Houston, Texas 77018
(800) 363-5985

MedicAlert Foundation, Inc.
2323 Colorado Ave.
Turlock, California 95382
(888) 755-1448

Caring Advocates
2730 Argonauta St
Carlsbad, California 92009
(800) 647-3223

Oneida Nameplate Company, Inc.
1697 229th Avenue
Manchester, Iowa 52057
(877) 925-2586



OOH DNR information and links

Print a DNR form


Frequently Asked Questions about OOH DNR
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.
Instructions in Spanish(Word) (PDF) 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. The signature side of the Texas OOH DNR form (that can be printed from the link above) is still used for the form to be considered a valid form.
Health care professionals
If you are distributing blank OOH DNR forms to be filled out by patients, family 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 DIRECTIVE DOES NOT CONSTITUTE 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) 
The Department of Aging and Disability Services links

Advance directive documents

Out-of-Hospital Do Not Resuscitate Legislation
Health and Safety Code, Chapter 166 Advanced Directives
Texas Administrative Code, Chapter 157.25 Out-of-Hospital Do Not Resuscitate (OOH-DNR) Order



Contact us

For questions regarding the Out-of-Hospital Do-Not-Resuscitate program cal us at 512-834-6700 or email EMSInfo@dshs.state.tx.us.   
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Last updated February 10, 2015