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Voluntary ADD Insurance Enrollment Form Underwritten by: United of Omaha Life Insurance Company Policyholder Section Policyholder Name: Independent Business Owners Benefits Association IBO Member

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What is polst form form for?

Polst form is a medical order form that ensures patients with serious illnesses or frailty receive the care they desire by outlining their preferences for life-sustaining measures such as cardiopulmonary resuscitation (CPR), intubation, artificial nutrition, and hydration.

Who is required to file polst form form for?

Polst form is typically completed by individuals with serious illnesses, advanced age, or those who want to express their end-of-life medical preferences.

How to fill out polst form form for?

The polst form should be completed by the patient, their healthcare provider, or a designated healthcare professional. It requires providing personal information, discussing treatment preferences, and signing the form.

What is the purpose of polst form form for?

The purpose of the polst form is to ensure that a patient's end-of-life medical preferences are respected and followed by healthcare professionals.

What information must be reported on polst form form for?

The polst form requires information such as the patient's name, date of birth, treatment preferences, guidelines for healthcare providers, and signatures of the patient or their authorized representative and healthcare provider.

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