The POLST (Physician Orders for Life-Sustaining Treatment) form is intended for any individual with serious health conditions.
The POLST form asks for information about:
The POLST form will translate your wishes as expressed in your health care directive and/or Durable Power of Attorney into clear and specific medical orders. This will assist physicians, nurses, health care facilities and emergency personnel in providing appropriate treatment.
A POLST form can be obtained at your physician's office. It must be signed by both you and your physician before it is valid.