What is POLST?

“Understanding POLST” is a video that explains the purpose of POLST orders. It also provides a detailed overview of Section A: Cardiopulmonary Resuscitation (CPR) and Section B: Medical Interventions on the 2019 Oregon POLST form.

POLST stands for Portable Orders for Life-Sustaining Treatment. It is a voluntary form that turns your wishes for treatment into a medical order.

It is meant for people with a serious illness, such as advanced heart disease, advanced lung disease, or cancer that has spread. It is also for people who are older and frail and might not want all medical treatments.

The POLST form:

  • Guides treatment decisions if you later lose the ability to speak for yourself

  • Gives you more control over the treatments you do or do not want to receive in a medical emergency

  • Is completed with a doctor*

  • Does not replace an advance directive


2019 Oregon POLST form

2019 Oregon POLST Form Sample_Page_1.jpg

* “Doctor" refers to who can sign a POLST form. POLST forms need a physician (M.D. or D.O.), nurse practitioner (N.P.), physician assistant (P.A.), or doctor of naturopathy (N.D.) signature.