(727) 823-9500
New Hampshire
Section 137-J:33 of the New Hampshire statutes stipulates that residents with a Do Not Resuscitate or POLST order issued by their physician may wear an identification bracelet or pendant to alert Emergency Medical personnel in the event of a cardiac or respiratory arrest. The identifier must have the words New Hampshire Do Not Resuscitate on the front, and must include the person's name and date of birth in numerical form, which we engrave on the back. {Note: If a POLST is provided that has Do Not Attempt CPR checked on the form, we will engrave the words New Hampshire DNR / POLST on the front). The statute also stipulates that we cannot issue the Do Not Resuscitate or POLST identifier until we have received a copy of the individual's Do Not Resuscitate order.
- You can either scan the document and upload it at the time you place your order, email it to CustomerService@stickyj.com, or fax it to 727-499-0989.
- If you prefer to order by mail, you can download and print a DNR bracelet order form by clicking on
NEW HAMPSHIRE MAIL ORDER FORM.
