We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Introduction To The Polst Form - Aging

Get Introduction To The Polst Form - Aging

The types of medical treatment that a patient wishes to receive towards the end of life. These medical orders are signed by either a patient s physician, physician assistant or certified registered nurse practitioner and the patient or the patient s surrogate. Completion of a POLST form is only a small step in the process of a patient s decision-making, and it is critical that this form be used as part of a program for end of life decisions that includes educational support and other aspe.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Introduction To The POLST Form - Aging online

The Introduction to the POLST Form is an important document that empowers patients to specify their end-of-life care preferences. This guide will provide you with clear, step-by-step instructions to fill out the form online effectively.

Follow the steps to complete your POLST form online:

  1. Click the ‘Get Form’ button to access the document and open it in your online editing tool.
  2. Begin by entering the patient's full name in the designated field, ensuring that it matches the name on their identification.
  3. In the next section, indicate the date of birth of the patient, which helps to confirm their identity and age.
  4. Select the medical treatment preferences for the patient. Carefully read through each option and choose according to their wishes. You may need to discuss these options with healthcare providers.
  5. Identify a surrogate decision-maker if the patient is unable to communicate their preferences. This person should be someone the patient trusts to make healthcare decisions on their behalf.
  6. Once all fields are filled out, review the completed form for accuracy and completeness to ensure that it accurately reflects the patient's desires regarding end-of-life care.
  7. After finalizing the form, you can save your changes, download a copy for your records, print the form, or share it with healthcare providers and family members.

Take control of your end-of-life care decisions by completing your POLST form online today.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Introduction to the POLST Form
Pennsylvania – Orders for Life Sustaining Treatment (POLST) is a medical order that...
Learn more
Introduction to the POLST Form
Nov 10, 2010 — Pennsylvania – Orders for Life Sustaining Treatment (POLST) is a...
Learn more
Palliative Care - Urology Guidelines
Feb 16, 2024 — In states where the MOLST/POLST has been established, it is important to...
Learn more

Related links form

PGCEA Membership Application Edtpa Context For Learning Template UNIVERSAL CREDIT CARD FORM Caps 5 Pdf

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

But a DNR order only tells healthcare workers not to perform cardiopulmonary resuscitation (CPR). A MOST form can deal with more issues. It can give directions for other life-sustaining things, like breathing tubes, feeding tubes and medicine.

A do-not-resuscitate (DNR) order tells medical professionals not to perform CPR. This means that doctors, nurses and emergency medical personnel will not attempt emergency CPR if the patient's breathing or heartbeat stops.

POLST – Physician Orders for Life-Sustaining Treatment Printed on bright pink paper, and signed by both a patient and physician, nurse practitioner or physician assistant, POLST can prevent unwanted or ineffective treatments, reduce patient and family suffering, and ensure that a patient's wishes are honored.

MOLST and POLST are two acronyms defining medical orders. The MOLST is the Medical Orders for Life-Sustaining Treatment and the POLST is the Physician Orders for Life-Sustaining Treatment. They're both the same thing, but in different states they call them by those two different names.

The Physician Orders for Life Sustaining Treatment (POLST) form is a written medical order from a physician, nurse practitioner or physician assistant that helps give people with serious illnesses more control over their own care by specifying the types of medical treatment they want to receive during serious illness.

MOLST and POLST are two acronyms defining medical orders. The MOLST is the Medical Orders for Life-Sustaining Treatment and the POLST is the Physician Orders for Life-Sustaining Treatment. They're both the same thing, but in different states they call them by those two different names.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Introduction To The POLST Form - Aging
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232