Pennsylvania POLST (Pennsylvania Orders for Life Sustaining Treatment)

The goal of the POLST paradigm is to effectively communicate the wishes of seriously ill patients to have or to limit medical treatment as they move from one care setting to another.

POLST In Action In Pennsylvania Video

Watch POLST In Action In Pennsylvania video.

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.**

References and Web Sites

Fast Facts and Concepts

Steps to Implement POLST

Policy Examples


Useful Tools

For More Information

Inquiries on POLST can be directed to:

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