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What is a physician order sheet?

Overview. The Physician Orders for Life‑Sustaining Treatment (POLST) is a physicians order that outlines a plan for end of life care reflecting both a patients preferences and a physicians judgment based on a medical evaluation.

Who is a POLST form recommended for?

The POLST form is designed for people who have chronic health conditions and/or those who are seriously ill or medically frail. A POLST is most useful for people who want less than fully aggressive medical treatment in their current health state. Filling out a POLST is voluntary.

What is a medical order form?

Order forms allow providers to specify to patients and testing centers what medical tests they would like a patient to complete in a structured way. Order forms have clearly labeled fields to store essential information needed to satisfy testing requirements and allows providers to document testing instructions.

Can I download a POLST form?

National POLST Model Form A copy of this publication may be downloaded, stored, or printed for personal use only; all other uses require written permission.

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