Mandatory elements of POLST forms [For application of this section, see 85 Del. Laws, c. 485, § 5].

16 Del. C. § 2509A., under Delaware Portable Orders for Life-Sustaining Treatment Act [For application of this chapter, see 85 Del. Laws, c. 485, § 5].

16 Del. C. § 2509A.

§ 2509A. Mandatory elements of POLST forms [For application of this section, see 85 Del. Laws, c. 485, § 5]. A POLST form shall be deemed to be valid for the purposes of this chapter if it complies with all of the following: (1) Contains information indicating the patient’s health-care preferences and directions. (2) Has been voluntarily signed, after discussion with a health-care practitioner, by the patient or by another individual subscribing the patient’s name in the patient’s presence and at the patient’s express direction, or, if the patient does not have decision-making capacity, by the patient’s authorized representative. (3) Contains a statement that the POLST form is being signed by the patient, or the patient’s authorized representative, after discussion with a health-care provider. (4) Includes the signature of the patient’s health-care practitioner and the date of the health-care practitioner’s signature. (5) If the POLST form is not signed by the heath-care practitioner in the presence of the patient, the POLST form will be signed by the individual in whose presence the patient or the patient’s authorized representative signed the POLST form. (6) The POLST form shall include a statement that the patient or, if the patient does not have decision-making capacity, the patient’s authorized representative, has been provided with a plain language statement explaining the POLST form and the consequences of executing the POLST form. (7) Meets any other requirements established by regulations to implement or administer this chapter.80 Del. Laws, c. 18, § 1; 85 Del. Laws, c. 485, § 1;