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

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

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 medical document that allows individuals to specify their preferences for life-sustaining treatment in the event of a serious illness or injury.

Q: What does POLST stand for?
A: POLST stands for Practitioner Order for Life-Sustaining Treatment.

Q: What is the purpose of the POLST form?
A: The purpose of the POLST form is to ensure that an individual's preferences for life-sustaining treatment are honored by healthcare professionals, particularly in emergency situations.

Q: Who should fill out a POLST form?
A: A POLST form should be filled out by individuals who have serious health conditions or who are near the end of life and have specific preferences regarding life-sustaining treatment.

Q: Is the POLST form legally binding?
A: Yes, the POLST form is legally binding and must be followed by healthcare professionals.

Q: Is the POLST form available in languages other than English?
A: Yes, the POLST form is available in both English and Spanish for residents of Illinois.

Q: Can the POLST form be updated or revised?
A: Yes, the POLST form can be updated or revised at any time to reflect changes in an individual's preferences for life-sustaining treatment.

Q: Are there any fees associated with completing the POLST form?
A: No, there are no fees associated with completing the POLST form.

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

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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 / Spanish)

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