Physicians Orders for Life Sustaining Treatment (POLST) Forms

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

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 available in most states, though they sometimes go by other names -– including MOLST, POST, and COLST. Learn more about your state's POLST in the articles below.

If your state isn't linked, that means it doesn't yet offer the form, but you can visit to find out whether it's developing a program. Also see What if my state doesn't have a POLST form?