1. (A) The POST form must be a uniform document based on the standards recommended by the National Physician Orders for Life-Sustaining Treatment (POLST) paradigm and must include the information set forth in subsection (C).
2. (B) A copy, facsimile, or electronic version of a completed POST form is considered to be legal.

3. (C) The POST form must include the following information:

   1. (1) patient name and contact information;
   2. (2) date of birth;
   3. (3) effective date of form;
   4. (4) diagnosis;
   5. (5) treatment plan;
   6. (6) health care representative or health care agent contact information;
   7. (7) CPR preference;
   8. (8) medical intervention preferences;
   9. (9) preferences for antibiotics; and
   10. (10) assisted nutrition and hydration preferences.

HISTORY: 2019 Act No. 89 (H.4004), SECTION 2, eff May 24, 2019.