Physician Orders for Life-Sustaining Treatment (POLST)

If you or a loved one has serious health conditions, consider executing a POLST (Physician Orders for Life-Sustaining Treatment) form.

The POLST form asks for information about:

• Your medical conditions
• Your preferences for resuscitation
• The use of antibiotics
• The use of artificially administered fluids and nutrition

The POLST form will translate your wishes as expressed in your health care directive into clear and specific medical orders.

This will assist physicians, nurses, health care facilities and emergency personnel in providing appropriate treatment.

You can get a POLST form at your physician's office. It must be signed by both you and your physician before it is valid.

For More Information

If you have questions, you can email the Advance Care Planning team.