(a) In addition to those orders not to resuscitate authorized elsewhere in this chapter, any physician, health care professional, or emergency medical technician shall be authorized to effectuate an order not to resuscitate for a person who is not a patient in a hospital, nursing home, or licensed hospice and the order is evidenced in writing containing the patient's name, date of the form, printed name of the attending physician, and signed by the attending physician on a form substantially similar to the following:

"DO NOT RESUSCITATE ORDER

NAME OF PATIENT:__________________________________________________

THIS CERTIFIES THAT AN ORDER NOT TO RESUSCITATE HAS BEEN ENTERED ON THE ABOVE-NAMED PATIENT.

SIGNED:_______________________ ATTENDING PHYSICIAN

PRINTED OR TYPED NAME OF ATTENDING PHYSICIAN:_____________________

ATTENDING PHYSICIAN'S TELEPHONE NUMBER:___________________________

DATE:____________________"

(b) A person who is not a patient in a hospital, nursing home, or licensed hospice and who has an order not to resuscitate pursuant to this Code section shall wear an identifying bracelet on either the wrist or the ankle or an identifying necklace. The bracelet shall be substantially similar to identification bracelets worn in hospitals. The bracelet or necklace shall be on an orange background and shall provide the following information in boldface type:

"DO NOT RESUSCITATE ORDER

Patient's name:___________________________________________________

Authorized person's name and telephone number, if applicable:_____

Patient's physician's printed name and telephone number:__

Date of order not to resuscitate:________________________________"

Any physician, health care professional, or emergency medical technician shall be authorized to regard such a bracelet or necklace as a legally sufficient order not to resuscitate in the same manner as an order issued pursuant to this chapter unless such person has actual knowledge that such order has been canceled or consent thereto revoked as provided in this chapter.

(c) Any order not to resuscitate evidenced pursuant to subsection (a) or (b) of this Code section may be revoked as provided in Code Section 31-39-6 and may be canceled as provided in Code Section 31-39-5.