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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. Learn more by visiting the POLST website.

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.

For Patients and Families

Implementation and Appropriate Use of POLST

The POLST Conversation

References and Web Sites

Policy Examples 


Fast Facts and Concepts

For More Information

Inquiries on POLST can be directed to: