The Maine Hospice Council and Center for End-of-Life Care is the administrative home for the Maine State POLST Coalition, a broad-based coalition of providers and other stakeholders. POLST (Physician Orders for Life-Sustaining Treatment) is an actionable medical order intended for those facing a terminal illness, or who are in an advanced state of medical frailty. POLST orders are not intended for general use among older adults. Healthy adults should have an Advance Directive on file in their medical record.
This form is a sample. To receive a copy without the “Do Not Copy” watermark, please fill out the release form above and send it to Maine Hospice Council.
Either fax to (207) 622-1274 or email to
Video Decision Support Tool for Completion of Physicians Orders for Life Sustaining Treatment (POLST): An Opportunity to Improve Advance Care Planning; Ramy Sedhom MD, Daniel Sedhom MD, Daniel Schaer MD, David Barile MD
Advance Care Planning:
Advance Care Planning: Advance Directives vs. POLST Forms:Key Differences Between Advance Directives and POLST forms
National POLST, "Understanding Advance Care Planning"
National POLST Handouts:
Map: Adoption of National POLST Form
"Patients Guide to Portable Medical Record"
To learn more about POLST, please contact the Maine Hospice Council and Center for End of Life Care, or the National administrative home, www.polst.org, which has a wealth of information for both providers and patients.
To subscribe to the National POLST eNewsletter, please go to http://www.polst.org/subscribe
To access the National POLST eNewsletters, please go to https://polst.org/newsletter-archive