This version of the form is not currently in use and is provided for reference only. Download this version of State Form 55317 for the current year.
This is a legal form that was released by the Indiana State Department of Health - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 55317?
A: Form 55317 is the Indiana Physician Orders for Scope of Treatment (POST) form.
Q: What is the purpose of Form 55317?
A: Form 55317 is used to document a patient's preferences for life-sustaining treatments and medical interventions.
Q: Who can complete Form 55317?
A: Form 55317 should be completed by a physician or other authorized healthcare provider.
Q: Is Form 55317 legally binding?
A: Yes, Form 55317 is legally binding and must be followed by healthcare providers.
Q: Can a patient revoke or change their preferences on Form 55317?
A: Yes, a patient can revoke or change their preferences at any time by completing a new Form 55317.
Form Details:
Download a printable version of State Form 55317 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.