Get Il Idph Uniform Practitioner Orders For Life-sustaining Treatment (polst) Form 2015-2025

Filling out the IL IDPH Uniform Practitioner Orders For Life-Sustaining Treatment (POLST) Form online can help ensure your medical treatment preferences are clearly documented. This guide provides straightforward instructions to assist users in completing the form accurately and effectively.

Follow the steps to complete the POLST form online.

1. Click the ‘Get Form’ button to access the POLST form and open it in your preferred editor.
2. Begin by entering the patient's last name and date of birth in the designated fields to identify the individual. These details are crucial for medical records.
3. Fill in the patient's address, ensuring accuracy to facilitate communication with healthcare providers.
4. In Section A, select one of the options regarding medical interventions based on the patient’s wishes for treatment. Choose from 'Full Treatment,' 'Selective Treatment,' or 'Comfort-Focused Treatment.' Make sure to review each option carefully.
5. If appropriate, provide any additional instructions for medically administered nutrition in Section D. Indicate whether long-term nutrition support is desired or if no means of nutrition is preferred.
6. Specify the status of cardiopulmonary resuscitation (CPR) by selecting either 'Do Not Attempt Resuscitation' (DNR) or 'Attempt Resuscitation.' This is crucial for emergency medical responders to understand patient wishes.
7. Document the discussion by selecting all appropriate parties involved, including the patient or legal representative who is signing the form.
8. All signatures must be completed, including those of the witness and attending practitioner, along with their printed names and contact information.
9. Finally, review all filled sections for accuracy. Save the changes, and then choose to download, print, or share the completed form as needed.

Begin your document completion online to ensure your treatment preferences are clearly communicated.