Advanced Care Planning POLST Form - cancer ucsf: Fill out & sign online

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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. What is a POLST? - Advance Care Planning - UCLA Health uclahealth.org programs resources wha uclahealth.org programs resources wha

Does legally a POLST form require a signature from the patients physician as well as the patient or their?

Yes. Your provider must sign the form in order for it to be valid. Most states, and the National POLST Form, also require the patient or the patients surrogate (or proxy, health care agent, representative) to sign as well. Patient FAQs - POLST polst.org frequently-asked-questions-for-patients polst.org frequently-asked-questions-for-patients

Which of the following are reasons a POLST may be recommended for a person?

POLST is for people who are seriously ill or have advanced frailty. If you are healthy, an advance directive is for you. POLST forms and advance directives are both advance care plans but they are not the same. POLST forms must be filled out and signed by health care provider.

Can a POLST only be used by a physician?

The POLST form is a medical order and must be signed by a physician, nurse practitioner or physician assistant to be valid (depends on state law). Each form has a statement or attestation that the health care professionals signature on the form indicates the orders on the form reflect the patients treatment wishes.

Is POLST better than advance directive?

POLST is for people who are seriously ill or have advanced frailty. If you are healthy, an advance directive is for you.

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