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HIPAA PERMITS DISCLOSURE OF POST ORDERS TO HEALTH CARE PROVIDERS AS NECESSARY FOR TREATMENT SEND FORM WITH PATIENT WHENEVER TRANSFERRED OR DISCHARGEDMedical Record # (Optional)Massachusetts POST Form:

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How to fill out massachusetts polst form a

01

Obtain a blank Massachusetts POLST form A.

02

Fill out the patient's personal information, including name, date of birth, and address.

03

Indicate the patient's preferences for life-sustaining treatment in section A.

04

Have the patient or their healthcare proxy sign and date the form.

05

Make copies of the completed form for the patient's records, healthcare providers, and family members.

Who needs massachusetts polst form a?

01

Patients who have advanced or serious illness.

02

Patients who wish to specify their preferences for life-sustaining treatment.

03

Patients who want to ensure their treatment preferences are known and followed by healthcare providers.

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What is massachusetts polst form a?

Massachusetts POLST Form A is a medical order form that specifies the types of life-sustaining treatments a person wishes to receive or not receive in certain medical situations.

Who is required to file massachusetts polst form a?

Massachusetts POLST Form A must be completed by a healthcare professional in consultation with a patient or their authorized healthcare proxy.

How to fill out massachusetts polst form a?

Massachusetts POLST Form A should be filled out by a healthcare professional after discussing the patient's treatment preferences and goals of care.

What is the purpose of massachusetts polst form a?

The purpose of Massachusetts POLST Form A is to ensure that a patient's treatment preferences are documented and honored in various healthcare settings.

What information must be reported on massachusetts polst form a?

Massachusetts POLST Form A must include information about the patient's preferences regarding CPR, intubation, medical interventions, and comfort measures.

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