Get Wyoming Polst

Filling out the Wyoming Providers Orders for Life Sustaining Treatment (Polst) form is an important step in ensuring that your medical wishes are clearly communicated. This guide provides a detailed overview of the form's components and offers step-by-step instructions for completing it online.

Follow the steps to successfully complete the Wyoming Polst.

1. Use the ‘Get Form’ button to access the Wyoming Polst document and open it for editing.
2. Begin by filling in your personal information, including your last name, first name, date of birth, last four digits of your Social Security number, and gender.
3. In Section A, choose one of the options regarding cardiopulmonary resuscitation (CPR). Indicate whether you want CPR attempted or if you prefer a Do Not Attempt Resuscitation (DNR) order.
4. Move to Section B and select your preferences for medical interventions. Choose from full treatment, selective treatment, or comfort-focused therapy based on your wishes.
5. In Section C, if applicable, provide any additional orders related to treatments such as dialysis or other specific medical needs.
6. Section D addresses artificially administered nutrition. Indicate your choice between long-term artificial nutrition, a trial period, or no artificial nutrition.
7. Fill in the medical condition and patient goals section to clearly outline any additional preferences.
8. Both the healthcare provider and the patient or their legal representative must sign the form to validate it. Include the dates of the signatures for reference.
9. Once all sections are complete and signatures are obtained, you can save your changes, download the form, print it for physical copies, or share it as needed.

Complete your Wyoming Polst online today to ensure your medical preferences are respected.