Provider Order for Life-Sustaining Treatment (Polst) Utah Life With Dignity Order - Utah

Provider Order for Life-Sustaining Treatment (Polst) Utah Life With Dignity Order - Utah

Provider Order for Life-Sustaining Treatment (Polst) Utah Life With Dignity Order is a legal document that was released by the Utah Department of Health and Human Services - a government authority operating within Utah.

FAQ

Q: What is a Provider Order for Life-Sustaining Treatment (POLST)?
A: POLST stands for Provider Order for Life-Sustaining Treatment, it is a medical order that outlines the specific treatments a patient wants or does not want at the end of life.

Q: What is a Utah Life With Dignity Order?
A: A Utah Life With Dignity Order is another name for the POLST form in the state of Utah.

Q: What does a POLST form do?
A: A POLST form provides clear instructions to healthcare providers regarding the types of life-sustaining treatments a patient wants or does not want, including CPR, intubation, and artificially administered nutrition.

Q: Who should have a POLST form?
A: A POLST form is recommended for individuals with serious life-limiting illnesses or conditions, as well as those who want to express their end-of-life treatment preferences.

Q: Is a POLST form legally binding?
A: Yes, a POLST form is a medical order that is legally binding when signed by a healthcare provider.

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Form Details:

  • Released on February 1, 2019;
  • The latest edition currently provided by the Utah Department of Health and Human Services;
  • 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 fillable version of the form by clicking the link below or browse more documents and templates provided by the Utah Department of Health and Human Services.

Download Provider Order for Life-Sustaining Treatment (Polst) Utah Life With Dignity Order - Utah

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