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Physician Orders for Life-Sustaining Treatment (POLST) is a form that gives seriously-ill patients more control over their end-of-life care, including medical POLST is not just a check-box form. POLST is a medical order and should be completed by a medical professional as part of a rich conversation between a patient A copy of the signed POLST form is a legally valid physician order. Any section Date Form Prepared: Patient First Name: (2018). POLST California. California, are currently pilot testing local POLST registries with a goal of future provider access to completed POLST forms across large communities,2018 HB194 Pediatric Palliative and End of Life Care for terminally ill minors Legislation, 2008 AB 3000 Establishes the CA POLST Form Polst Form. Fill out, securely sign, print or email your polst 2014-2020 form instantly with SignNow. The most secure digital platform to get legally The Physician's Order for Life Sustaining Treatment (POLST) form is approved by the Emergency Medical Services Authority (EMSA) and the Commission on EMS, and