Do Not Resuscitate (DNR) & Medical Orders for Scope of Treatment (MOST) Forms

Pursuant to N.C. General Statute 90-21.17 (PDF, 17 KB), the department, through the Office of Emergency Medical Services, has adopted an official portable Do Not Resuscitate (DNR) form and Medical Order for Scope of Treatment (MOST) form for use by physicians and other licensed healthcare facilities to assist in providing information relating to a patient's desire for resuscitation or life-prolonging measures. These forms are available only to physicians' offices or other licensed hospital or healthcare facilities. To purchase DNR and MOST forms, use the DNR and MOST order form:

For a sample copy of the portable DNR or MOST form:

The online Emergency Medical Services MOST Educational Program was developed by the NC OEMS and the Emergency Medical Services Improvement Performance Center (EMSPIC) to assist EMS agencies and personnel in understanding how the MOST form is to be used. Since patients across the state will begin using this MOST form immediately, all EMS personnel are strongly encouraged to complete the MOST Online Educational Program. This program can be completed in approximately 30 minutes.

Information about Advance Health Care Directives can be found on the Secretary of State's website. North Carolina forms for Psychiatric Advance Directives (PAD) are also available from the National Resource Center on Psychiatric Advance Directives.

NC Office of Emergency Medical Services