• A qualified health care practitioner may be licensed in Illinois or the state where the patient is being treated. Reviewing a POLST Form This POLST form should be reviewed periodically …
What is the IDPH Uniform POLST form? The IDPH Uniform POLST form is a medical order that communicates a patient’s advance decisions about CPR and life-sustaining treatment. It is …
Welcome to the POLST Illinois website. POLST is a state approved form that allows people with a serious illness to receive the medical treatments they want and avoid the ones they don’t want …
Licensed hospitals, certain licensed long-term care facilities, such as nursing homes, and licensed emergency medical services personnel must honor the IDPH Uniform POLST Form, National …
• Changing, modifying or revising a DNR/POLST form requires completion of a new DNR/POLST form. • Draw line through sections A through E and write “VOID” across page if any …
As of 2021, the form is now identified as: “Illinois Department of Public Health Uniform Practitioner Orders for Life Sustaining Treatment (POLST) Form”. The IDPH POLST form is a signed …
Apr 23, 2013 · The completed form is intended to be honored across various settings, including hospitals, nursing homes, and by emergency medical services personnel in your residence or …
Illinois law allows you to make four types of advance directives: a health care power of attorney; a living will; a mental health treatment preference declaration, and a Practitioner Orders For Life …
Use of the Illinois Department of Public Health (IDPH) Practitioner Orders for Life-Sustaining Treatment (POLST) Form is always voluntary. This order records your wishes for medical …