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HB-PLH-102Legal-aid form

Out of Hospital DNR - FORM

Texas · TexasLawHelp.org

This form is an Out-of-Hospital Do-Not-Resuscitate (OOH-DNR) Order used to tell medical professionals not to start or continue life-saving treatments for a person outside of a hospital. It allows for comfort care instead.

The court describes it as: Statutory form. Use to tell emergency medical professionals not to give life-saving treatment.

Open the official PDFfrom TexasLawHelp.org

Where this fits in a case

General & info

Information / general use — not tied to one step of a case

This form is used when a person needs to direct medical professionals about resuscitation efforts, depending on whether the person is competent, if they have a legal representative, or if they are a minor.

Either party may file.

Common questions

Who can fill out this form?
Different sections allow different people to fill it out, such as the adult person themselves, a legal guardian, a qualified relative, or attending physicians.
What does this form tell doctors not to do?
It directs that certain resuscitation measures, like CPR, defibrillation, and artificial ventilation, should not be started or continued.

Revision history

No changes recorded since we started tracking this form on October 9, 2026.

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