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National POLST

National POLST

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HIPAA PERMITS DISCLOSURE OF POLST ORDERS TO HEALTH CARE PROVIDERS AS NECESSARY FOR TREATMENT SEND FORM WITH PATIENT WHENEVER TRANSFERRED OR DISCHARGED A copied, faxed or electronic version of this form is a legal and valid medical order. This form does not expire. 2019 Medical Record # (Optional) National POLST Form: A …

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