Folder The Pennsylvania Orders for Life-Sustaining Treatment (POLST) Form

The POLST FORM and brief information on its development and use in Pennsylvania is accessible at the following links.

Users are asked to print copies of the form on pulsar pink card stock (65#). The POLST Wallet Card should be printed on both sides of page.

Documents

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pdf Critical polst facts ( pdf, 104 KB ) (2029 downloads) Popular
pdf Frequently Asked Questions - Updated! ( pdf, 133 KB ) (2526 downloads) Popular
pdf Guidance for Healthcare Professionals - Updated! ( pdf, 459 KB ) (4343 downloads) Popular
pdf Introduction to the POLST Form ( pdf, 189 KB ) (17409 downloads) Popular
pdf POLST and the Out of Hospital Do Not Resuscitate Order, Similarities and Differences ( pdf, 38 KB ) (20242 downloads) Popular
pdf POLST FAQs ( pdf, 168 KB ) (2401 downloads) Popular
pdf POLST form, English version ( pdf, 223 KB ) (79772 downloads) Popular
pdf POLST form, Spanish version ( pdf, 153 KB ) (5204 downloads) Popular
pdf POLST Wallet Card ( pdf, 158 KB ) (11222 downloads) Popular