The POLST form is a way for the patient to say "Yes, I want CPR and full treatment" or "No, I want to stay where I am and be made comfortable," or something in the middle. The POLST form can be changed or voided at any time.

Completing a Life Care Planning request form or calling (602) 542-2123 or (800) 352-8431 to have them mailed to you. Physician Orders for Life-Sustaining Treatment (POLST) Form - This form is for when you become seriously ill or frail and toward the end of life.

POLST Form - This form is for when you become seriously ill or frail and toward the end of life. Who Will Speak for You? To learn more: To view informational videos regarding advance directives and alternative formats of the documents go …

Step 1: Fill out all forms that apply to you and express your wishes for your end of life care. Read through the documents carefully to select choices that are best suited to your wishes. Each document will need to be notarized OR witnessed. DO …

POLST forms are completed by your healthcare provider (Physician, Physician’s Assistant or Nurse Practitioner) after discussing your diagnosis, what your treatment options are, how your illness will progress, and what is most important to you in your life.

• To be valid, an AzPOLST form must be signed and dated by (1) a physician/NP/PA acting under the supervision of a physician and within the scope of practice authorized by law and (2) the patient or surrogate.

The right documentation: the Arizona POLST form will be carefully and correctly completed along with their living will and healthcare power of attorney, submitted to the Arizona Directory, and available to those who will need to locate and honor the Arizona POLST orders across the continuum of care.