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OTHER STATES

OTHER STATES

Note: These are subject to change depending on state law.

Alabama

Alaska

Enrollment forms and bracelets for Comfort One Program are 

available from your physician.

Arizona

Note that DNR orders are not effective inside hospital units.

Arkansas

California

Connecticut

Delaware

Note that the Delaware MOLST form was discontinued in 2013. 

Florida

MUST BE PRINTED ON YELLOW PAPER!

Georgia

Hawaii

Note that DNR orders have been suspended.

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

alabama

Ohio

alabama

Oklahoma

Oregon

alabama

Pennsylvania

alabama

Rhode Island

alabama

South Carolina

alabama

South Dakota

alabama

Tennessee

alabama

Texas

alabama

Utah

alabama

Vermont

alabama

Virginia

alabama

Washington

alabama

West Virginia

Ask your doctor for an official DNR or POST form.

Wisconsin

alabama

Wyoming

alabama

Montana

Nebraska

© 2018 by Ruiting Jia.

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