Advanced Directive/POLST
Advanced Directive/POLST
Make your wishes known in ADVANCE for your medical treatment.
You have the right to give instructions about your own health care.
You have the right to name someone to make decisions for you, in the event you become unable to make those decisions for yourself.
You can express your wishes regarding donation of organs.
You can give specific instructions about your health care or the person you have named to express your wishes.
To make these difficult questions easier to understand, the form is presented in a series of questions and answers. Because this is such an important matter, we urge you to talk to your spouse, family, close friends, doctor and attorney before filling out your Directive.
The form is easy to fill out and takes you through each of the four parts step by step.
You and two personal witnesses and or a notary will sign the form to legally validate your wishes.
Call for more information: (800) 266-4364