(727) 823-9500
Michigan
The statutes of Michigan require that your DNR bracelet must contain the message Michigan DO NOT RESUSCITATE ORDER on the front of the bracelet.
- On the back it must have the declarant's Name and Address on the first three lines, followed by the name and phone number of the attending physician, if any, on lines 4 and 5.
There are two different types of Do Not Resuscitate Order forms for Michigan -- one for patients who execute the order after consultation with their doctor, and one for others whose religious affiliation whose members do not seek medical guidance from doctors. We must be provided with a copy of the signed DNR form that was properly executed for the declarant before your order can be released.
- You can either scan the document and upload it at the time you place your order, email it to us to CustomerService@stickyj.com, or fax it to 727-499-0898.
If you prefer to order by mail, you can download and print a DNR bracelet order form by clicking on
MICHIGAN MAIL ORDER FORM.
