POLST Minnesota

polst-web.gifThe Provider Orders For Life Sustaining Treatment (POLST) form is a portable medical order that can give patients with advanced serious illness the option to exercise increased control over the treatment they do and do not want to receive at the end of life.  The POLST form identifies what types of medical treatment a patient wishes to receive at the end of life, and helps to ensure those wishes are conveyed to emergency services and other medical providers.  The POLST form is used and recognized by hospital systems, long term care facilities, medical professionals, and emergency medical services throughout Minnesota.  

The POLST form is one part of advance care planning and does not replace a health care directive. The POLST form should reflect a patient’s known wishes and should change if the patient’s wishes change.  Unlike a health care directive, a POLST form must be signed by a licensed provider to be valid.

The Minnesota Medical Association first developed a standardized POLST form in 2010 and it has since been widely adopted across Minnesota. The POLST Minnesota form was revised in 2017 and is now available for use.  Previous versions of the Minnesota POLST form remain valid.  

For more information please contact MMA staff Becca Branum (612) 362-3738.
 

Information for Health
Care Professionals

Information for Patients and Families  

Other Resources

POLST MN Coalition