Polst Form

What is Polst Form?

The Polst Form, also known as the Physician Orders for Life-Sustaining Treatment, is a legal document that allows individuals to outline their preferences for medical treatment in life-threatening situations. It serves as a guide for healthcare professionals to provide appropriate care based on the individual's wishes.

What are the types of Polst Form?

There are generally three types of Polst Forms:

POLST for Adults: This form is designed for adults 18 years and older to express their treatment preferences in case of a medical emergency.
POLST for Minors: This form is for parents or legal guardians to communicate their child's treatment choices if they are unable to make decisions.
POLST for Long-Term Care: This form focuses on providing preferences for residents of long-term care facilities, ensuring their wishes are respected in various situations.

How to complete Polst Form

Completing a Polst Form is a relatively simple process. Here are the steps involved:

01
Start by obtaining the Polst Form, which is typically available through healthcare providers, hospitals, or state-specific websites.
02
Fill in personal information, such as your name, date of birth, and contact details.
03
Discuss your treatment preferences with your healthcare provider or physician.
04
Choose the desired level of treatment for each medical intervention, including resuscitation, antibiotics, and artificial nutrition.
05
Review the completed form with your healthcare provider, ensuring all preferences are accurately captured.
06
Sign the Polst Form, and if required, have it witnessed or notarized to make it legally valid.
07
Keep the original form in a safe and easily accessible place, and provide copies to your healthcare proxies, family members, and healthcare professionals involved in your care.

pdfFiller is an excellent tool to help you complete your Polst Form. With its unlimited fillable templates and powerful editing tools, you can easily create, edit, and share documents online. Try pdfFiller today and experience the convenience it brings to document management.

Video Tutorial How to Fill Out Polst Form

Thousands of positive reviews can’t be wrong

Read more or give pdfFiller a try to experience the benefits for yourself
5.0
Great Time Save Works really well - and a great time save.
Great Time Save Works really well - and a great time save. Meant I didn't have to print off and manually complete it.
Marike Fichardt
4.0
This is a very good program This is a very good program!
This is a very good program This is a very good program! I am pleased with it! Would reccomend to everyone...
Marvel Ueno
4.0
Quick and Easy PDF editor Surprisingly effective pdf editor.
Quick and Easy PDF editor Surprisingly effective pdf editor. cheap and easy to use, with critical functionality placed at the forefront.
Muhammed Khwaja

Questions & answers

Download The POLST Form Translations of the POLST form are available to assist healthcare providers in explaining the form to patients and loved ones. However, an English version of the POLST form must be completed and signed so that emergency medical personnel and healthcare providers can follow the orders.
A POST, or sometimes called a POLST form, is a one-page document, that becomes an official medical order once it is signed by a doctor. Search online for POST forms for your state. Doctors, hospital staff or hospice social workers can provide forms.
Just as with DNR orders, family members generally cannot override a patient- and physician-signed POLST order. Accordingly, all efforts should be made to get patients, families, and providers on the same page before an acute event, to prevent confusion about the plan of care and distress for families and providers.
FAQ: Can a decisionmaker give a verbal signature over the phone? If the decisionmaker cannot be physically present to sign the POLST, verbal consent from the patient/decisionmaker is permissible in accordance with facility/community policy.
A POLST form is a medical order that should be completed by your provider. Patients should not be provided a POLST form to complete on their own. A POLST form should never be completed without a conversation with the patient, or his/her surrogate, about diagnosis, prognosis, treatment options and goals of care.
The POLST form is completed by a patient's physician (or by someone who has undergone special training about POLST and who works with the patient's physician) in conjunction with thorough conversation with the patient regarding the patient's current and future health conditions and treatment preferences.