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Provider Order for LifeSustaining Treatment (POST) Utah Life with Dignity OrderBureau of Health Facility Licensing and Certification, Utah Department of Health State of Utah Rule R43231 v3.1 February

How to fill out 21 printable polst vs

How to fill out 21 printable polst vs

1. Obtain a copy of the 21 printable POLST form.
2. Carefully read the instructions provided with the form.
3. Begin by filling out the patient information section, including the patient's name, date of birth, and contact information.
4. Indicate the patient's current medical condition and any specific treatment preferences in the appropriate sections.
5. If the patient has appointed a healthcare agent or designated a surrogate decision-maker, provide their contact information.
6. Review the completed form to ensure all information is accurate and complete.
7. Sign and date the form.
8. Have the patient's physician or healthcare provider review and sign the form as well.
9. Make multiple copies of the completed form to distribute to the relevant parties, such as the patient's primary care provider, hospital, and family members.
10. Periodically review and update the form as the patient's medical condition or treatment preferences change.

Who needs 21 printable polst vs?

1. 21 printable POLST forms are typically used by individuals who have a serious illness or medical condition and wish to ensure that their treatment preferences are known and honored.
2. It is particularly important for individuals who may be nearing the end of life or have a high risk of medical emergencies to have a completed 21 printable POLST form.
3. This includes elderly individuals, patients with advanced chronic conditions, individuals with terminal illnesses, and those receiving hospice or palliative care.
4. Family members and caregivers of such individuals may also find it helpful to be aware of the patient's treatment preferences as outlined in the form.

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What is 21 printable polst vs?

21 printable polst vs is a form used for documenting a person's preferences for medical treatments in case they are unable to communicate their wishes.

Who is required to file 21 printable polst vs?

Patients and their healthcare providers are required to fill out 21 printable polst vs.

How to fill out 21 printable polst vs?

To fill out 21 printable polst vs, you need to discuss with your healthcare provider your preferences for medical treatments and complete the form accordingly.

What is the purpose of 21 printable polst vs?

The purpose of 21 printable polst vs is to ensure that a person's medical treatment preferences are honored in case they are unable to communicate.

What information must be reported on 21 printable polst vs?

Information such as preferred medical interventions, resuscitation preferences, and other treatment wishes must be reported on 21 printable polst vs.