Pennsylvania Orders for Life-Sustaining Treatment (Polst) Form - Pennsylvania

Pennsylvania Orders for Life-Sustaining Treatment (Polst) Form - Pennsylvania

Pennsylvania Orders for Life-Sustaining Treatment (Polst) Form is a legal document that was released by the Pennsylvania Department of Health - a government authority operating within Pennsylvania.

FAQ

Q: What is the Pennsylvania Orders for Life-Sustaining Treatment (POLST) form?
A: The POLST form is a legal document that outlines an individual's preferences for life-sustaining treatment in the event of a medical emergency or critical illness.

Q: Who should have a POLST form?
A: Any individual with a serious illness or medical condition, especially those who may not be able to communicate their treatment preferences in the future, should have a POLST form.

Q: How does the POLST form work?
A: The POLST form is completed by the patient in consultation with their healthcare provider. It includes specific instructions regarding the use of life-sustaining treatments like CPR, intubation, and feeding tubes.

Q: Is the POLST form legally binding?
A: Yes, the POLST form is a legally binding medical order that must be honored by healthcare providers and emergency medical personnel.

Q: Can a POLST form be changed or updated?
A: Yes, the POLST form can be changed or updated by the individual at any time, and it is recommended to review and revise the form periodically.

Q: What happens if I don't have a POLST form?
A: If you do not have a POLST form, healthcare providers and emergency personnel will default to providing life-sustaining treatment unless there is a clear understanding of your preferences.

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Form Details:

  • Released on October 14, 2010;
  • The latest edition currently provided by the Pennsylvania Department of Health;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Health.

Download Pennsylvania Orders for Life-Sustaining Treatment (Polst) Form - Pennsylvania

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