Who should fill out a Polst form?

The POLST form is completed by a patient's physician (or by someone who has undergone special training about POLST and who works with the patient's physician) in conjunction with thorough conversation with the patient regarding the patient's current and future health conditions and treatment preferences.

US Legal Forms
Alaska Declaration relating to use of life sustaining procedures - Do...

Alaska Declaration relating to use of life sustaining procedures - Do Not Resuscitate - DNR - Optional Donation of tissues

Q: Who should fill out a Polst form?

The POLST form is completed by a patient&#039;s physician (or by someone who has undergone special training about POLST and who works with the patient&#039;s physician) in conjunction with thorough conversation with the patient regarding the patient&#039;s current and future health conditions and treatment preferences.

Category:

Power of Attorney - Healthcare - Living Wills

State:

Alaska

Control #:

AK-02005

Format:

Instant download

Description

This form is a Declaration Relating To Use Of Life Sustaining Procedures for the State of Alaska, and allows an individual to declare whether or not such procedures will be used to prolong his/her life. It also contains provisions for the donation of specific body parts in the event of death. This document must be witnessed and properly acknowledged.

Cash Deposit on Appeal

View this form

Request for Approval of Supersedeas Bond in an Administrative Appeal

View this form

Request for Approval of Supersedeas Bond in District Court Case

View this form

Motion to Waive or Reduce Cost Bond

View this form

Order Re Cost Bond

View this form

Contract with Engineer to Design a Buildin...

View this form

Condominium Proxy Form

View this form

Exit Mechanism Issues List

View this form

Assignment of a Specified Amount of Wages

View this form

Certificate of Good Standing Request Form

View this form

Sample Letter for Networking Letter From R...

View this form

How to fill out Alaska Declaration Relating To Use Of Life Sustaining Procedures - Do Not Resuscitate - DNR - Optional Donation Of Tissues?

Leveraging the Alaska Declaration regarding the implementation of life-sustaining measures - Do Not Resuscitate - DNR - Optional Tissue Donation forms crafted by experienced attorneys provides the chance to evade complications when filing paperwork.

Merely download the template from our site, complete it, and request an attorney to review it. This approach will save you considerably more time and expenses than seeking legal advice to create a document tailored to your requirements independently.

If you’ve previously purchased a US Legal Forms subscription, simply Log In to your account and navigate back to the template webpage. Locate the Download button next to the templates you are examining. After downloading a document, you can find all your saved samples in the My documents section.

Choose a file format and download your document. Once you have performed all the above steps, you will be able to fill out, print, and sign the Alaska Declaration concerning the use of life-sustaining procedures - Do Not Resuscitate - DNR - Optional Tissue Donation template. Be sure to double-check all entered information for accuracy before submitting or mailing it. Minimize the time allocated to document creation with US Legal Forms!

If you lack a subscription, it's not an issue. Just adhere to the following steps to register for your account online, acquire, and complete your Alaska Declaration related to the use of life-sustaining procedures - Do Not Resuscitate - DNR - Optional Tissue Donation template.
Verify and confirm that you are downloading the correct state-specific form.
Use the Preview function and check the description (if available) to determine if you need this specific example and if so, click Buy Now.
Search for another sample using the Search field if required.
Choose a subscription that meets your needs.
Proceed with your bank card or PayPal.

Power of Attorney and Living Will / Health Care Directive

Take advantage of personalized templates with US Legal Forms. Complete a simple survey to describe your case and get the appropriate Power of Attorney for your state and situation.

Try now

Form popularity

FAQ

A POLST form is a legal document for people with an advanced progressive or terminal illnesses and specifies the type of care a person would like in an emergency medical situation.

The DNR guides Emergency Medical Service (EMS) providers and can give EMS permission not to perform cardiopulmonary resuscitation (CPR), whereas a POLST might include a DNR instruction regarding CPR, but provides more instructions regarding additional medical interventions.

Anyone who has a chronic or life-limiting illness or anyone with advanced age should consider having a POLST document.

The POLST form is completed by a patient's physician (or by someone who has undergone special training about POLST and who works with the patient's physician) in conjunction with thorough conversation with the patient regarding the patient's current and future health conditions and treatment preferences.

How to Order the National POLST Form. Visit your program website or reach out to your program contact to order POLST forms (www.polst.org/map). Forms are not available to individuals since they are medical orders that should be completed by providers.

A POLST form is a medical order that tells emergency health care professionals what to do during a medical crisis where the patient cannot speak for him or herself.

The California POLST form is valid in California. If you are traveling to another state, it is a good idea to take both your Advance Directive and your POLST form with you. Both documents, even if not legally binding, will help health care providers know your wishes. How can I find out more about POLST?

Trusted and secure by over 3 million people of the world’s leading companies

Declaration relating to use of life sustaining procedures - Do Not Resuscitate - DNR - Optional Donation of tissues

ALASKA Living Will Law § 13.52.010. Advance health care directives (a) Except as provided in AS 13.52.173, an adult may give an individual instruction. Except as provided in AS 13.52.177, the instruction may be oral or written. The instruction may be limited to take effect only if a specified condition arises. (b) An adult may execute a durable power of attorney for health care, which may authorize the agent to make any health care decision the principal could have made while having capacity. The power remains in effect notwithstanding the principal's later incapacity and may include individual instructions. The power must be in writing, contain the date of its execution, be signed by the principal, and be witnessed by one of the following methods: (1) signed by at least two individuals who are personally known by the principal, each of whom witnessed either the signing of the instrument by the principal or the principal's acknowledgment of the signature of the instrument; or (2) acknowledged before a notary public at a place in this state. (c) Unless related to the principal by blood, marriage, or adoption, an agent under a durable power of attorney for health care may not be an owner, operator, or employee of the health care institution at which the principal is receiving care. (d) A witness for a durable power of attorney for health care may not be (1) a health care provider employed at the health care institution or health care facility where the principal is receiving health care; (2) an employee of the health care provider providing health care to the principal, or of the health care institution or health care facility where the principal is receiving health care; or (3) the agent. (e) At least one of the individuals used as a witness for a durable power of attorney for health care shall be someone who is not (1) related to the principal by blood, marriage, or adoption; or (2) entitled to a portion of the estate of the principal upon the principal's death under a will or codicil of the principal existing at the time of execution of the durable power of attorney for health care or by operation of law then existing. (f) Unless otherwise specified in the durable power of attorney for health care, the authority of an agent becomes effective only upon a determination that the principal lacks capacity and ceases to be effective upon a determination that the principal has recovered capacity. (g) Unless otherwise specified in a written advance health care directive, a determination that a principal lacks or has recovered capacity, or that another condition exists that affects an individual instruction or the authority of an agent, shall be made by (1) the primary physician, except in the case of mental illness; (2) a court in the case of mental illness, unless the situation is an emergency; or (3) the primary physician or another health care provider in the case of mental illness where the situation is an emergency. (h) An agent shall make a health care decision in accordance with the principal's individual instructions, if any, and other wishes to the extent known to the agent. Otherwise, the agent shall make the decision in accordance with the agent's determination of the principal's best interest. In determining the principal's best interest, the agent shall consider the principal's personal values to the extent known to the agent. (i) A health care decision made by an agent for a principal is effective without judicial approval. (j) A written advance health care directive may include the individual's nomination of a guardian of the individual. (k) Except as provided in AS 13.52.247(a), an advance health care directive, including an advance health care directive that is made in compliance with the laws of another state, is valid for purposes of this chapter if it complies with this chapter, regardless of where or when it was executed or communicated. (l) Notwithstanding the sample form provided under AS 13.52.300, an individual instruction that would be valid by itself under this chapter is valid even if the individual instruction is contained in a writing that also contains a durable power of attorney for health care and the durable power of attorney does not meet the witnessing or other requirements of this chapter.

Declaration relating to use of life sustaining procedures - Do Not Resuscitate - DNR - Optional Donation of tissues

Alaska Declaration relating to use of life sustaining procedures - Do Not Resuscitate - DNR - Optional Donation of tissues

Description

Related forms

Viewed forms

How to fill out Alaska Declaration Relating To Use Of Life Sustaining Procedures - Do Not Resuscitate - DNR - Optional Donation Of Tissues?

Power of Attorney and Living Will / Health Care Directive

Form popularity

FAQ

Is Polst a legal document?

What is the difference between a Polst and a DNR?

Who needs a Polst?

Who should fill out a Polst form?

How do I get a Polst form?

What is the purpose of Polst?

Is a Polst legally binding?

How is Polst different from DNR?

Trusted and secure by over 3 million people of the world’s leading companies