
The following resources can help you evaluate whether a POLST is right for you, how to access a POLST, how to discuss a POLST with your loves ones and healthcare providers and how to manage a POLST if and when you complete one. If you have further questions, please reach out to info@washingtonpolst.org.

For all adults.
Appoints healthcare agent/surrogate.
Typically used in hospital to guide care when one can't communicate for themselves.
General instructions for treatment in specific medical scenarios, how long to continue medical intervention and hoped for outcomes.
Various forms and version available.
Signed by:
Individual
Two Witnesses or Notary (either or, but not both)
For those living with illness, medical frailty or at later stage of life.
Specific medical orders guiding life-sustaining treatment out of hospital when one can not communicate for themselves.
Does not appoint healthcare agent/surrogate.
One standardized form.
Signed by:
Patient or Surrogate Decision Maker
Physician, NP, or PA

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