Physicians Orders for Life Sustaining Treatment (POLST) Forms

Use a POLST form to indicate what health care treatment you want in case of emergency.

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A Physician Orders for Life Sustaining Treatment (POLST) form is a document created by you and your doctor that informs emergency care providers what kinds of treatments you want (and don't want) in a medical emergency. POLST forms are like Do Not Resuscitate (DNR) orders in that they 1) must be signed by a doctor and, 2) instruct emergency medical whether to administer cardiopulmonary resuscitation (CPR). However, POLST forms cover many additional types of medical interventions, such as intubation, antibiotic use, and feeding tubes.

POLST forms are currently available in more than half of the states in the U.S. and they go by various names -– including MOLST, POST, and COLST. Learn more about the POLST form in your state in the articles below.

If your state isn't listed, you can visit to find out whether it's developing a program. Also see What if my state doesn't have a POLST form? 

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