Utah Administrative Code
Topic - Health
Title R432 - Health Care Facility Licensing
Rule R432-31 - Provider Order for LifeSustaining Treatment
Section R432-31-11 - Signature Requirement

(1) The patient or surrogate or guardian decision maker and a medical provider, including an MD, DO, PA, or APRN shall sign the POLST for it to be valid.

(2) For pediatric patients, two different medical providers shall sign the POLST to make it effective.

(3) Electronic signatures are acceptable for POLST forms.

(4) In the event the surrogate or guardian decision maker cannot sign in-person or electronically, a verbal signature may be noted if confirmed by two medical professionals caring for the patient.

(5) Photocopies and faxes of signed POLST forms are legal and valid.