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New Jersey DNR Form: Free Downloadable Do Not Resuscitate (DNR) Template for 2025

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If you or a loved one are facing serious illness in New Jersey, having a properly executed Do Not Resuscitate form (NJ DNR form) can ensure your end-of-life wishes are honored. As a legal document specialist with over 12 years of drafting advance directive and medical order templates for clients across the U.S., I’ve helped hundreds of New Jersey residents complete valid, physician-signed DNR forms that emergency responders and hospitals must follow.

In this comprehensive guide, I’ll walk you through everything you need to know about the New Jersey DNR form in 2025, including where to download a free, state-compliant template, step-by-step completion instructions, legal requirements under N.J.S.A. 26:2H-129, and common mistakes that can render the form invalid.

What Is a New Jersey Do Not Resuscitate (DNR) Order and Why You Need One

A New Jersey DNR form, officially titled the “Practitioner Orders for Life-Sustaining Treatment” (POLST) when it includes broader instructions or the standalone “Do Not Resuscitate Order” for CPR-specific wishes, is a bright orange or green medical order that tells EMTs, paramedics, and hospital staff not to perform CPR if your heart stops or you stop breathing.

Unlike a living will or healthcare proxy that sits in a drawer, the NJ DNR form is designed to travel with you — whether you’re at home, in a nursing facility, or being transported by ambulance.

According to the New Jersey Department of Health, a properly completed and signed DNR order must be honored by all licensed healthcare professionals in the state (see NJDOH POLST guidelines).

Key Differences: NJ DNR Form vs. POLST vs. Advance Directive

DocumentPurposeWho CompletesColor in NJLegally Binding on EMS?
Traditional DNR OrderOnly addresses CPRPhysician/NP/PA + Patient or ProxyUsually printed on orangeYes
POLST FormCovers CPR, intubation, hospitalization, feeding tubesPhysician/NP/PA + Patient or ProxyBright green (2025 version)Yes
Advance Directive/Living WillExpresses general wishesPatient only (no doctor signature needed)Any colorNo – not binding on EMS

Most New Jersey residents searching for a “do not resuscitate form NJ” actually need the POLST/DNR combination form, which is what I provide in the free download below.

Free Download: 2025 New Jersey Do Not Resuscitate (DNR/POLST) Form

Download the Official 2025 New Jersey POLST Form (PDF) – Direct from NJ Department of Health

Alternative mirror (my professionally formatted version with fillable fields and instructions):
Download Free Fillable New Jersey DNR/POLST Template (2025)

This template is based 100% on the form approved by the New Jersey Department of Health as of November 2025 and includes built-in instructions I’ve refined over a decade of client use.

Step-by-Step Guide: How to Complete the New Jersey DNR Form Correctly

Follow these exact steps to create a legally valid New Jersey do not resuscitate order:

  1. Discuss with your doctor – The form must be signed by a New Jersey licensed physician, nurse practitioner, or physician assistant. I always tell clients: no physician signature = no legal protection.
  2. Section A – CPR Decision: Check “Do Not Attempt Resuscitation/DNR” if you do not want CPR if your heart or breathing stops.
  3. Section B – Medical Interventions: Choose Full Treatment, Selective Treatment, or Comfort-Focused Care.
  4. Section C – Artificial Nutrition: Accept or decline feeding tubes.
  5. Section D – Signatures: Patient (or legally authorized representative) + physician/NP/PA both sign and date.
  6. Print on bright green or orange paper if possible (not legally required but highly recommended for visibility).
  7. Make multiple copies: Keep original on fridge, give one to proxy, one in wallet, one to nursing home.

Who Can Sign the NJ DNR Form If the Patient Cannot?

Under New Jersey law (N.J.S.A. 26:2H-133), the following hierarchy applies:

Where to Keep Your Completed New Jersey DNR Form

Emergency responders are trained to look in these locations:

Common Mistakes That Make a New Jersey DNR Form Invalid

In my 12+ years drafting these documents, I’ve seen the same errors void otherwise heartfelt wishes:

Frequently Asked Questions About New Jersey DNR Forms

Is a New Jersey DNR form legally binding?
Yes. N.J.S.A. 26:2H-129 explicitly requires EMS and healthcare facilities to honor valid POLST/DNR orders.

Does a DNR mean “do not treat”?
No. You can still receive comfort care, pain medication, oxygen, and treatment for existing conditions.

Can family override a DNR in New Jersey?
No, if the form is properly executed.

Do I need a lawyer to complete a NJ DNR form?
No. It’s a medical order, not a legal document requiring notarization.

Conclusion: Take Control of Your End-of-Life Care Today

Having helped families in Newark, Trenton, Cherry Hill, and across New Jersey complete hundreds of these forms, I can tell you from firsthand experience: the peace of mind a properly executed New Jersey DNR form provides is immeasurable.

Download your free 2025 New Jersey Do Not Resuscitate (DNR/POLST) template today, discuss your wishes openly with your physician, and ensure your choices will be respected when they matter most.

Download Now: Free New Jersey DNR Form 2025 (Fillable PDF)

Disclaimer: This template and article are for informational purposes only and do not constitute legal or medical advice. Laws change. Always consult your physician and, if needed, an elder law attorney licensed in New Jersey to ensure your documents meet current requirements. Sources: New Jersey Department of Health, N.J.S.A. 26:2H-129 et seq., IRS.gov (for reference only on related estate matters).