What is a POLST Form?

What is a POLST form?

​POLST is short for Portable Orders for Life-Sustaining Treatment. A POLST is a green form that provides a summary of your treatment preferences in an emergency. It covers wishes regarding resuscitation and different levels of medical interventions.

​Is completing a POLST form voluntary?

Yes. Completing a POLST form is voluntary.

How does a POLST form interact with my estate planning documents?

A POLST form does not replace a will, durable power of attorney for health care, or advance directive document. Instead, it helps health care providers honor your wishes in an emergency. 

Can I revoke a POLST form?

Yes, a POLST form may be revoked. There are different methods of revoking the form. 

Are there signature requirements?

​In Washington, a medical provider (physician, ARNP, or PA-C) needs to sign the POLST form. You (or someone who can sign the form on your behalf) need to sign the form as well.

Where should I keep a POLST form?

​A POLST form should be kept in a visible location. This form is meant to be accessible to emergency personnel. Some people put the form on their refrigerator or next to the front door.