The New Jersey POLST Form

The Practitioners Orders for Life Sustaining Treatment, or POLST form, is written by a doctor or nurse and tells the medical team what to do for a patient who is seriously ill or approaching the end of life. The form expresses the individual’s wishes about the specific types of care he or she would and would not like to receive. The NJ POLST Form gives specific care instructions related to a patient’s personal goals of care, artificial nutrition, resuscitation and re-hospitalization.

This form should travel with a patient if they are moving between medical facilities; be in a visible place at home; and be in the chart of a hospitalized patient. The physicians who care for a patient should have a copy as well as appropriate family members or friends.

4Step iCare Plan

An Individualized End of Life Care Plan

Our 4Step iCare Plan is a personalized, simple, 4-step approach that helps you navigate through challenging medical decisions. It requires participation from patients and families as well as the healthcare provider (HCP).
Learn more with our video series and helpful tools

The NJ POLST Form

Make your wishes known. A NJ POLST form will inform your healthcare providers about what treatment you do and do not want.
Learn more with our video series about the NJ POLST
Download a NJ POLST form

Get Involved!

 As an agent of change. Join the Goals of Care Coalition of New Jersey to help improve end of life care for patients and families.
As a supporter of our efforts. We depend on the generosity of our donors to provide critical information to patients and families—this information is provided at no cost when it’s needed most.