Florida polst form 2026

1. Click ‘Get Form’ to open the Florida POLST form in the editor.
2. Begin by entering the patient's first and last name, date of birth, gender, and last four digits of their Social Security Number. This information is crucial for identifying the patient.
3. In section A, choose between 'Attempt Resuscitation/CPR' or 'Do Not Attempt Resuscitation/DNR' based on the patient's wishes regarding cardiopulmonary resuscitation.
4. Move to section B to select medical interventions. Options include 'Comfort Measures Only', 'Limited Additional Interventions', or 'Full Treatment'. Each choice outlines different levels of care.
5. In section C, indicate preferences for artificially administered nutrition. Choose from options like long-term artificial nutrition by tube or no artificial nutrition.
6. Complete sections D and E if applicable, indicating any hospice or palliative care preferences.
7. Ensure all required signatures are obtained from both the physician and the patient or surrogate before finalizing the document.

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