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

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

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 POLST form is a medical document that allows individuals to make decisions about their end-of-life care and communicate those preferences to healthcare providers.

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

Q: Who can use the IDPH Uniform Practitioner Order for Life-Sustaining Treatment (POLST) form?
A: Any resident of Illinois who has decision-making capacity and wants to be more specific about their end-of-life care can use the POLST form.

Q: What information does the POLST form include?
A: The POLST form includes information about the individual's preferences for various life-sustaining treatments, such as CPR, intubation, and artificial nutrition.

Q: Is the POLST form legally binding?
A: Yes, the POLST form is a medical order that must be followed by healthcare providers, as long as it is completed correctly and reflects the individual's current medical condition and wishes.

Q: Can the POLST form be changed or revoked?
A: Yes, the POLST form can be changed or revoked at any time. It is recommended to review and update the form regularly to ensure it accurately reflects the individual's current preferences.

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 / Korean)

4.6 of 5 (17 votes)
  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English/Korean)

    1

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

    2

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

    3

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

    4

  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English/Korean), Page 5

    5

  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English / Korean), Page 1
  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English / Korean), Page 2
  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English / Korean), Page 3
  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English / Korean), Page 4
  • Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois (English / Korean), Page 5
Prev 1 2 3 4 5 Next
ADVERTISEMENT