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Do Not Resuscitate and End-of-Life Treatment Wishes
NextGen Docs form ND-1100. Search ND-1100 on docs.ngz.ca to make this document again.
Write down your wishes on CPR, life support and comfort care, to guide your family and doctors.
Start this document FreeHow it works
What you will fill in
- Your full legal name
- Who decides for you if you cannot (substitute decision-maker)
- CPR if your heart stops
- Breathing machine (ventilator) or tube feeding if you will not recover
- Where would you like to be at the end
- Date of this document
Good to know
- In Ontario a DNR Confirmation Form (for paramedics and other care settings) is filled in by a doctor or nurse, not by you. Show this statement to your doctor and ask about it.
- Talk about these wishes with your substitute decision-maker. In Ontario, consent comes from them, guided by your wishes.
- Keep a copy on the fridge or with your health card, and give one to your doctor.
Help in your language
Every question comes with help like this. For example, “Your full legal name”:
English: As on your ID, for example: Muhammad Ali Khan.
اردو: شناختی کارڈ کے مطابق آپ کا پورا نام۔
ਪੰਜਾਬੀ: ਪਛਾਣ ਪੱਤਰ ਮੁਤਾਬਕ ਤੁਹਾਡਾ ਪੂਰਾ ਨਾਮ।
हिन्दी: पहचान पत्र के अनुसार आपका पूरा नाम।
Français: Comme sur votre pièce d'identité, par exemple : Muhammad Ali Khan.
Questions people ask
How much does the Do Not Resuscitate and End-of-Life Treatment Wishes cost?
It is free to fill in, preview and download.
Can I fill in the Do Not Resuscitate and End-of-Life Treatment Wishes in Urdu, Punjabi, Hindi or French?
Yes. The finished document is in English, but every question has plain help in English, Urdu, Punjabi, Hindi and French, and you can speak your answers.
Do I need a lawyer?
Many people use this document on their own. If your situation is complicated, or a lot of money or your home is involved, talk to a lawyer or licensed paralegal. In Ontario, the Law Society Referral Service (findlegalhelp.ca) gives a free 30-minute consultation.
Is my information private?
Only you can see your answers. They are saved on your device, and in your own account if you sign in, so you can finish on another device. NextGen Docs is not a law firm and does not give legal advice.