The Practitioner Orders for Life Sustaining Treatment (POLST) form enables patients to indicate their preferences regarding life-sustaining treatment. This form, signed by a patient's attending physician, advanced practice nurse or physician’s assistant, provides instructions for health care personnel to follow for a range of life-prolonging interventions. This form becomes part of a patient's medical records, following the patient from one healthcare setting to another, including hospital, nursing home or hospice.
Pursuant to P.L. 2011, c. 145, the Institute for Quality & Patient Safety Organization was designated as the Lead Agency for Physician Orders for Life-Sustaining Treatment Act.
- The Promise of POLST: Taking Charge of Your Healthcare Treatment at the End of Life
- POLST RESOURCES for Patients and Family Members, Healthcare Providers, Forms, and Webinars
- Frequently Asked Questions - Providers [pdf 350k]
- View the new POLST form [English] [Español] [Korean] [Vietnamese]
View the New POLST Form
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