Caring

Advocates

plan and honor end-of-life decisions

Ohio DNR-Registry Medallion

$64.00

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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 Ohio approved form that YOU (or YOUR DESIGNATED AGENT) and YOUR PHYSICIAN must sign and return to Caring Advocates: Send your form to Caring Advocates; 2730 Argonauta St.; Carlsbad, CA 92009 or FAX it to 888 767 6322 or scan it and attach it to an email: medallions@caringadvocates.org
If you do not have a signed Ohio DNR Comfort Care Form, you may download this form at http://www.odh.ohio.gov/pdf/forms/dnrfrm.pdf or you may download the Ohio Medical Orders for Life-Sustaining Treatment (MOLST) form at http://www.hospiceofcincinnati.org/downloads/OhioMOLSTv7.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; 2730 Argonauta St.; Carlsbad, CA 92009 or FAX it to 888 767 6322 or scan it and attach it to an email: medallions@caringadvocates.org.

2) A completed Medallion Order form: CLICK HERE to complete your DNR Registry Medallion Order Form (.pdf) to print and mail OR email.