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Get Wa Physician Orders For Life-sustaining Treatment (polst) 2021-2025
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How to fill out the WA Physician Orders For Life-Sustaining Treatment (POLST) online
The Washington Physician Orders For Life-Sustaining Treatment (POLST) is a critical document that outlines an individual's preferences for medical treatment. This guide provides step-by-step instructions to help you navigate the online form effectively.
Follow the steps to complete the POLST form with ease.
- Press the ‘Get Form’ button to access the POLST form and open it in your selected editing platform.
- Fill in your last name, first name, middle name or initial, and date of birth in the designated fields.
- Optionally, specify your gender and pronouns, if comfortable doing so.
- Review the guidelines indicating that completing a POLST is voluntary and that it should be done with a medical professional.
- In 'Use of Cardiopulmonary Resuscitation (CPR)', select either 'Yes' to attempt resuscitation or 'No' to do not attempt resuscitation based on your preferences.
- Proceed to 'Level of Medical Interventions' and choose from the three options: Full Treatment, Selective Treatment, or Comfort-Focused Treatment, according to your healthcare goals.
- In the section for Additional Orders, make any requests for specific treatments like blood products or dialysis if applicable.
- If a legal medical decision maker is completing the form on behalf of an individual, they must provide their signature, print their name, and indicate their relationship to the individual.
- Ensure the form is signed by the required healthcare professional (MD/DO/ARNP/PA-C) along with the individual's signature or their legal medical decision maker.
- Once all fields are completed and verified, you can save changes, download, print, or share the form as needed.
Complete your documents online to ensure your healthcare preferences are honored.
Must pink paper be used? Faxed copies and photocopies are valid. Ultra Pink paper is preferred and used to distinguish the form from other forms in the patient's medical record; however, the form will be honored on any color paper. Is the POLST form available in other languages?
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