Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English / Polish)

Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English / Polish)

Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form is a legal document that was released by the Illinois Department of Public Health - a government authority operating within Illinois.

FAQ

Q: What is the IDPH Uniform Practitioner Order for Life-Sustaining Treatment (POLST) form?
A: The IDPH Uniform Practitioner Order for Life-Sustaining Treatment (POLST) form is a legal document that helps ensure a patient's medical treatment preferences are followed in situations where they may not be able to communicate their wishes.

Q: What is the purpose of the POLST form?
A: The purpose of the POLST form is to provide instructions for medical providers on the patient's preferences regarding life-sustaining treatments, such as CPR, intubation, or artificial nutrition.

Q: Who can complete the POLST form?
A: A POLST form must be completed and signed by a qualified healthcare professional, such as a doctor or nurse practitioner, in consultation with the patient or their authorized decision-maker.

Q: Is the POLST form legally binding?
A: Yes, the POLST form is a legally binding medical order that healthcare providers must follow.

Q: Is the POLST form specific to Illinois?
A: Yes, the IDPH Uniform Practitioner Order for Life-Sustaining Treatment (POLST) form is specific to Illinois.

Q: Is the POLST form available in languages other than English?
A: Yes, the POLST form is available in multiple languages, including Polish.

Q: Can I change my preferences on the POLST form?
A: Yes, you can update or change your preferences on the POLST form at any time by completing a new form with your healthcare provider.

Q: Is there a fee to complete the POLST form?
A: There is no fee to complete the POLST form. It is a free service provided to patients.

Q: Who should I contact if I have questions about the POLST form?
A: If you have questions about the POLST form, you should contact your healthcare provider or the Illinois Department of Public Health (IDPH) for assistance.

ADVERTISEMENT

Form Details:

  • Released on September 1, 2022;
  • The latest edition currently provided by the Illinois Department of Public 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 fillable version of the form by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.

Download Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English / Polish)

4.5 of 5 (24 votes)
  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English/Polish)

    1

  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English/Polish), Page 2

    2

  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English/Polish), Page 3

    3

  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English/Polish), Page 4

    4

  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English / Polish), Page 1
  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English / Polish), Page 2
  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English / Polish), Page 3
  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English / Polish), Page 4
Prev 1 2 3 4 Next
ADVERTISEMENT