Doug; our condolences to you and your family.
as MDinana correctly points out, some jurisdictions have special out of hospital forms aimed at paramedics. Florida does. Check for this in your jurisdiction.
The FDNY/EMS crews say "we find you on the floor, unresponsive, the first place we're going to go is to your refrigerator to look for drugs - insulin etc. We'll see that envelope, and be REALLY happy to have it"
I used a similar approach in Virginia with my Dad and his DNR order. He was at home, in home hospice, and we posted it on the refrigerator door. It was an ugly orange color so no one would overlook it. We also stopped by and talked to the guys in the local EMS squad, and briefed them. They made a note of it in their log book/notes, so even the off-duty guys would know to look for the order in case they responded.
The help of locally knowledgeable folks is invaluable in being sure the documents are accepted and implemented. One resource is your local hospital's medical social worker (may have different title) who probably knows all of the ins and outs and can get you started in the right direction.
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