Helping patients get the care they need and no less,
and the care they want and no more.

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The New Jersey POLST Form

​The Practitioners Orders for Life Sustaining Treatment, or POLST form, ensures patients get the care they need and no less and the care they want and no more. The POLST form is a medical order, like a prescription, that is completed and used by medical professionals to inform them about what treatments a patient would or would not want during a medical emergency. It must be signed by a doctor, physician assistant or advance practice nurse and a patient or decision maker. The POLST form is for seriously ill patients or older adults approaching the end of life. The NJ POLST form gives specific care instructions related to a patient’s personal goals of care, artificial nutrition, resuscitation and re-hospitalization.

New Jersey POLST Forms (PDF):

Video Series:

An Introduction to the New Jersey POLST Form

2:50 min.
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.

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Impact of COVID-19 on Medical Decision Making: POLST & Other Important Considerations for High-Risk People

31:59 min. (Q&A at 22:10 min.)
This webinar for patients, caregivers and medical decision-makers discusses the important differences between advance directives and POLST and includes a review of frequently asked questions.

Completing the New Jersey POLST Form

6:20 min.
This video will help you prepare to complete a NJ POLST form with a health care provider. If you’re completing the NJ POLST form for someone else, check if there’s a living will or advance directive to guide decision making.

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4Step iCare Plan

An Individualized End of Life Care Plan
Our 4Step iCare Plan is a simple, 4-step approach that helps patients, families, and healthcare providers navigate through challenging medical decisions.
Learn more with our video series and helpful tools

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 help the sickest and most vulnerable New Jerseyeans get the care they need and no less, and the care they want and no more. Donate today to help us provide critical information to patients and families and raise our voice with local, state and federal policy makers.

Video Series

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GOCC Resources:

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NJ POLST Form Videos and Documents

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NJ POLST Form Videos and Documents

Programs

Programs

Blogs

GOCC Resources:

wtfdivi014-url6

NJ POLST Form Videos and Documents

wtfdivi014-url6

NJ POLST Form Videos and Documents

Programs

Programs

Programs