POLST
Physician Orders for Life-Sustaining Treatment Form

The Physician Orders for Life-Sustaining Treatment (POLST) form is part of the POLST Paradigm Program.

It is a two-sided form that MUST be signed by your doctor. It is a legal document and state law provide immunity to those who comply in good faith. It provides effective communication of the patient wishes, documentation of medical orders on a brightly colored form, and is a promise by health care professionals to honor these wishes.

State by State Growth

The POLST Paradigm Program is growing throughout the United States of America but not all states have a POLST Paradigm Program.

• 2017 California POLST form
  Effective April 2017, this updated form is available from CAPOLST.org with instructions as a pdf).
  
  
  If you are not from California:
  

• We recommend that you get a POLST form for your state.