POLST is a medical order that gives patients more control over their care during serious illness. Signed by the patient and by a physician, nurse practitioner or physician assistant, POLST lists the types of medical treatment that a patient wishes to receive during serious illness.
United States
California
California’s POLST is called the Physician Orders for Life-Sustaining Treatment (POLST) and is produced on a distinctive bright pink form.
This is a Chinese translation of the California POLST form. The translated form is for educational purposes only to be used when discussing a patient’s wishes documented on the POLST form. The signed POLST form must be in English so that emergency personnel can read and follow the orders.
For questions, please contact the following organizations:
English: Email info@capolst.org or call (916) 489-2222. To learn more about POLST, visit www.caPOLST.org.
Chinese: Contact the Chinese American Coalition for Compassionate Care, admin@caccc-usa.org or call (866) 661-5687.
Hawaiʻi
Information on Hawaiʻi’s POLST can be found at the link below.
New Jersey
New Jersey’s POLST is called the Practitioner Orders for Life-Sustaining Treatment (POLST).
New York
New York’s POLST is called the Medical Orders for Life-Sustaining Treatment (MOLST).
Virginia
Virginia’s POLST is called the Physician Orders for Scope of Treatment (POST).
Texas
Texas’ POLST was also previously called the Medical Orders for Scope of Treatment (MOST).
Other States
Search for POLST forms by state at the link below.
Taiwan
Taiwan
In Taiwan, POLST is part of the 預立醫療決定書.