(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). (B) A copy, facsimile, or electronic version of a completed POST form is considered to be legal. (C) The POST form must include the following information: (1) patient name and contact information; (2) date of birth; (3) effective date of form; (4) diagnosis; (5) treatment plan; (6) health care representative or health care agent contact information; (7) CPR preference; (8) medical intervention preferences; (9) preferences for antibiotics; and (10) assisted nutrition and hydration preferences.
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