Polst form hawaii 2026

1. Click ‘Get Form’ to open the POLST form in our editor.
2. Begin by filling in the patient’s last name, first/middle name, and date of birth at the top of the form. This information is crucial for identifying the patient.
3. In Section A, indicate the desired resuscitation preferences by checking the appropriate box. Options include 'Attempt Resuscitation' or 'Do Not Attempt Resuscitation.'
4. Proceed to Section B to specify medical interventions. Choose between 'Comfort Measures Only,' 'Limited Additional Interventions,' or 'Full Treatment' based on the patient's wishes.
5. In Section C, decide on artificial nutrition and hydration preferences. Indicate if food and liquid should be offered by mouth or if artificial nutrition is desired.
6. Ensure that both the patient (or their legally authorized representative) and a licensed provider sign the form in the designated areas to validate it.

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