Introduction to the POLST Form
by both a patient’s physician, physician’s assistant, or certified registered nurse practitioner and the patient or the patient’s surrogate. The POLST form travels with the patient to help assure that treatment preferences are honored across settings of …
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CLINICAL LABORATORY APPLICATION
www.health.pa.govAmerican Thoracic Society (Blood Gas Only) (212) 315-8808 Pennsylvania Toxicology Program* American College of Physicians/Medical Laboratory Evaluation (MLE) (800) 523-1546 I hereby certify that the information stated herein is true and complete to …
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