POLST Forms
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All orders are shipped USPS ground. Please allow 7-10 business days for delivery. The prices above include shipping cost. You will receive an invoice for the cost of the materials with your shipment.
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Ordering Oregon POLST Forms and Materials

The POLST order form is for Health Care Professionals and organizations only. Individuals seeking to obtain a POLST Form may do so through their health care professional.

Need a Spanish POLST form?

The POLST form is read by emergency medical personnel, nurses, and physicians who may speak only English.  In order for POLST Forms to be portable, they must be in English.  However, a Spanish form is available to help explain the orders to Spanish speaking persons, but the only form that is valid to be used in the field is in English version.

Click here for an OR POLST form to print.

The Oregon POLST Form is updated approximately every two to three years. As of October 1, 2014, version 9 of the Oregon POLST Form is effective.  Prior versions of the POLST Form remain valid. If the patient's wishes have not changed, a new POLST Form does not need to be completed.

The biggest changes on the 2014 version are in sections D and F which now require attestation by the signer that a conversation was held with the patient or surrogate, as well as to specify with whom the conversation occurred. Increased documentation and verification of the conversation has become the standard nationally. 

To review the new POLST Form Press Release, click here.