State-by-State POLST Forms
A Physicians Order for Life Sustaining Treatment (POLST) form is a medical order and is available to people with advanced illnesses — it specifies the type of care a person would like in an emergency medical situation.
A POLST form is generally only appropriate for people who are in the final year of life, or suffering from an advanced stage terminal illness or an illness from which they are not expected to recover. It is complementary to an Advance Directive. (To find your state's advance directive form, use our resource State-by-State Advance Directive Forms.)
Depending on which state you live in, you can either download the POLST form yourself and fill it out in conjunction with your doctor, or you may need to get the form directly from your doctor. (POLST forms can also be completed with nurse practitioners, physicians assistants, social workers, and other medical professionals.) Either way, the POLST form must be signed by a physician or medical professional. If a medical professional has not signed the form, it won't be followed.
POLST forms vary from state to state, and may differ in name and structure depending on which state you live in—but they're conceptually the same across all states. Many states do not yet have a POLST form. If your state is not listed below, visit the POLST website to check the status of your state's POLST program.
Washington, D.C. (District of Columbia)
Help Us Stay Current
If you're aware of updates or changes to POLST forms in any state, please let us know here.
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