Follow the steps to accurately complete the POLST form online.

1. Use the ‘Get Form’ button to obtain the POLST form and open it in your preferred online document editor.
2. Begin by filling in your personal information. Provide your last name, first/middle initial, and date of birth in the designated fields.
3. In section A, decide on your preferences regarding cardiopulmonary resuscitation (CPR). Check the box for either 'CPR/Attempt Resuscitation' or 'DNR/Do Not Attempt Resuscitation (Allow Natural Death)' based on your wishes.
4. Move to section B to specify medical interventions. Choose between 'Comfort Measures Only,' 'Limited Additional Interventions,' or 'Full Treatment' based on the level of care you desire.
5. Proceed to section C to indicate your preferences regarding antibiotics. Select one of the options: 'No antibiotics,' 'Determine use or limitation of antibiotics,' or 'Use antibiotics if life can be prolonged.'
6. In section D, state your choices about artificially administered hydration and nutrition. Check one option, such as 'No hydration and artificial nutrition by tube' or 'Long-term artificial hydration and nutrition by tube,' as appropriate.
7. In the last section, summarize your goals and medical condition. Ensure that you or your surrogate has discussed the content of the form with a healthcare professional before signing.
8. Have the form signed by a physician, physician assistant, or certified registered nurse practitioner to validate it. Ensure that your signature or that of your surrogate is included.
9. Once completed, review all information for accuracy, then save the changes. You can download, print, or share the completed form as necessary.

Start filling out the PA POLST form online today to ensure your healthcare wishes are clearly documented.