Form IOCI17-564 Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois

Form IOCI17-564 Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois

What Is Form IOCI17-564?

This is a legal form that was released by the Illinois Department of Public Health - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of the Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form?
A: The Polst form is a medical document that allows individuals to specify their preferences for life-sustaining treatment.

Q: Who can use the Polst form?
A: The Polst form is designed for individuals with serious illnesses or advanced medical conditions who want to express their treatment preferences.

Q: How does the Polst form differ from other advance directives?
A: Unlike other advance directives, the Polst form is a medical order that is meant to be followed immediately by healthcare professionals.

Q: What does the Polst form include?
A: The Polst form includes specific instructions regarding resuscitation, life-sustaining treatments, and other medical interventions.

Q: Can I change my Polst form if my preferences change?
A: Yes, you can update or change your Polst form at any time by completing a new form with your current preferences.

Q: Do I need a lawyer to complete the Polst form?
A: No, you typically do not need a lawyer to complete the Polst form. However, it is recommended to consult with your healthcare provider for assistance.

Q: Who should I share the Polst form with?
A: It is important to share the Polst form with your healthcare providers, family members, and anyone else involved in your medical care.

Q: Is the Polst form legally binding?
A: Yes, the Polst form is a legally binding medical order that must be followed by healthcare professionals.

Q: Can I revoke or cancel my Polst form?
A: Yes, you can revoke or cancel your Polst form at any time by destroying the current form or completing a new one with updated preferences.

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Form Details:

  • Released on May 1, 2017;
  • The latest edition provided by the Illinois Department of Public Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form IOCI17-564 by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.

Download Form IOCI17-564 Idph Uniform Practitioner Order for Life-Sustaining Treatment (Polst) Form - Illinois

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