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

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

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 Uniform Practitioner Order for Life-Sustaining Treatment (POLST) form?
A: The POLST form is a medical order that outlines a patient's preferences for life-sustaining treatment.

Q: What does the POLST form cover?
A: The POLST form covers preferences for CPR, medical interventions, and end-of-life care.

Q: Who can fill out a POLST form?
A: A POLST form must be filled out by a qualified healthcare professional in consultation with the patient.

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

Q: Can the POLST form be changed or revoked?
A: Yes, the POLST form can be changed or revoked at any time by the patient or their authorized representative.

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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 / Chinese Simplified)

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

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