The New Jersey POLST Form
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.
New Jersey POLST Forms (PDF):
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.
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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