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. It may be completed by the patient or, if he or she is unable to speak for themselves, the patient’s healthcare proxy. The POLST form must be signed by a doctor, physician assistant or advance practice nurse and a patient or decision maker. The POLST form 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.

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.