Yes. Because ambulance personnel who may be called to assist have so little time to evaluate the situation and act appropriately, it is not practical to ask them to interpret documents that may vary in form and content. So, a standardized form has been developed. Have your doctor or health care facility contact the Maryland Institute for Emergency Medical Services System (MIEMSS) at (410) 706­4367 to obtain information on EMS Palliative Care/DNR Orders.