What does Section C of the POLST Form refer to?

• A. Contact information for the patient's physician.
• B. Billing and insurance information.
• C. Main treatment options.
• D. Additional Orders or Instructions beyond the main treatment options.

Answer: (D)

Section C refers to Additional Orders or Instructions beyond the main treatment options. A POLST form is a portable set of medical orders that communicates a seriously ill patient’s goals of care to clinicians, including EMS. Section A covers code status, and Section B lists the primary treatments the patient wants or does not want. Section C is for extra directives that don’t fit into those main categories—such as comfort-focused preferences, specific instructions about symptom management, or transportation or care setting preferences—so responders can tailor care to the patient’s wishes. This distinction helps ensure that, in urgent situations, the patient’s additional wishes are honored along with the core treatment preferences. The other options describe contact information, billing details, or the main treatment options, which are not what Section C contains.