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POLST

POLST

Physician Orders for Life-Sustaining Treatment (POLST)

To view the POLST form in English, please click here.  For additional information about POLST in English, please click here
To view the POLST form in Spanish, please click here. For additional information about POLST in Spanish, please click here.
To view the POLST form in Chinese, please click here.  For additional information about POLST in Chinese, please click here.

NOTE: The form should be copied/printed on 65# Cover Ultra Pink card stock.

 For additional information about POLST or to view the POLST form in other languages please visit http://capolst.org/