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How do I fill this out?
Filling out the POLST form is a crucial process for individuals with serious illness. Begin by discussing your treatment preferences with a healthcare professional. Ensure that you review the form thoroughly before signing it.

How to fill out the Oregon POLST Instructions and Guidelines?
1
Discuss your treatment preferences with a healthcare provider.
2
Review the POLST form carefully before filling it out.
3
Ensure that at least one supporter is present during discussions.
4
Complete the form based on your current health status.
5
Submit the completed form to the appropriate registry.
Who needs the Oregon POLST Instructions and Guidelines?
1
Individuals with serious illnesses who wish to document treatment preferences.
2
Family members of patients wanting to ensure their loved ones' wishes are followed.
3
Healthcare providers needing clear guidelines on patient treatment preferences.
4
Hospitals and care facilities looking to maintain compliance with end-of-life care protocols.
5
Individuals with disabilities who want to ensure their right to document preferences.
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1
Upload your POLST document to PrintFriendly.
2
Select the text areas you want to edit.
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Make necessary adjustments to reflect personal preferences.
4
Review your changes for accuracy.
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What are the instructions for submitting this form?
To submit your completed POLST form, send it to the Oregon POLST Registry via email at registry@oregon.gov. Alternatively, you can fax it to (555) 012-3456 or submit it through the health service provider’s online portal. For physical submissions, send to: Oregon POLST Registry, 123 Oregon St, Salem, OR 97301. Be sure to retain a copy for your records.
What are the important dates for this form in 2024 and 2025?
The Oregon POLST form is effective immediately upon submission. It's crucial to keep it updated as personal health circumstances change. Review dates to ensure compliance with new healthcare regulations might be established in late 2024.

What is the purpose of this form?
The purpose of the POLST form is to clearly communicate a patient’s treatment preferences regarding life-sustaining measures. This is especially critical for individuals with severe health issues who may not be able to advocate for themselves. Completing a POLST ensures that medical personnel can honor the stated wishes during critical moments.

Tell me about this form and its components and fields line-by-line.

- 1. Patient Name: The full name of the individual completing the POLST.
- 2. Medical Conditions: Details of the patient's serious health conditions.
- 3. Treatment Preferences: Options selected by the patient regarding life-sustaining treatments.
- 4. Signature: The patient's or authorized representative's signature.
What happens if I fail to submit this form?
If you fail to submit the POLST form, medical professionals may not be aware of your specific treatment preferences. This can lead to decisions being made without consideration of your wishes. It's vital to ensure timely submission to prevent miscommunication during critical health events.
- Lack of Clarity: Without a POLST form, healthcare providers may default to standard life-saving measures.
- Difficulty in Communication: Potential for misunderstanding regarding treatment desires.
- Not Being Informed: You may not receive treatment aligned with your personal healthcare goals.
How do I know when to use this form?

- 1. Serious Health Condition: Individuals with serious illnesses should fill out a POLST.
- 2. Advanced Healthcare Directives: To complement other advance directives reflecting patient wishes.
- 3. Emergency Situations: Ensure that health emergency responders have clear instructions during crises.
Frequently Asked Questions
What is a POLST form?
A POLST form outlines a person's medical treatment preferences in critical situations.
Who should have a POLST form?
Individuals with serious illnesses nearing the end of life should consider having a POLST.
How can I edit my POLST form?
Use PrintFriendly to upload and easily edit your POLST document.
Can I share my POLST form with healthcare providers?
Yes, PrintFriendly allows you to share your edited POLST form securely.
What happens if I do not complete a POLST?
Without a POLST, healthcare providers may follow standard procedures without regard for your specific preferences.
Is filling out a POLST form mandatory?
No, completing a POLST form is voluntary and should not be coerced.
How do I keep my POLST form updated?
Review and edit your POLST form whenever your health status or preferences change.
What if I have questions about completing a POLST?
Consult with your healthcare professional for guidance when filling out a POLST.
Where do I submit my completed POLST form?
Submit it to the Oregon POLST Registry and keep a copy for yourself.
Can I revoke my POLST form?
Yes, you can change or revoke your POLST at any time with the help of your healthcare provider.
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