Sec. 9. (a) The state department shall develop a standardized POST form and distribute the POST form.

     (b) The POST form developed under this section must include the following:

Terms Used In Indiana Code 16-36-6-9

  • Arrest: Taking physical custody of a person by lawful authority.
  • declarant: means a qualified person:

    Indiana Code 16-36-6-2

  • POST form: refers to a physician order for scope of treatment (POST) form developed by the state department under section 9 of this chapter. See Indiana Code 16-36-6-4
  • proxy: has the meaning set forth in IC 16-36-7-20. See Indiana Code 16-36-6-4.5
  • qualified person: refers to an individual who has at least one (1) of the following:

    Indiana Code 16-36-6-5

  • representative: means an individual described in section 7(a)(2) of this chapter. See Indiana Code 16-36-6-6
(1) A medical order specifying whether cardiopulmonary resuscitation (CPR) should be performed if the qualified person is in cardiopulmonary arrest.

(2) A medical order concerning the level of medical intervention that should be provided to the qualified person, including the following:

(A) Comfort measures.

(B) Limited additional interventions.

(C) Full intervention.

(3) A medical order specifying whether antibiotics should be provided to the qualified person.

(4) A medical order specifying whether artificially administered nutrition should be provided to the qualified person.

(5) A signature line for the treating physician, advanced practice registered nurse, or physician assistant, including the following information:

(A) The physician’s, advanced practice registered nurse’s, or physician assistant’s printed name.

(B) The physician’s, advanced practice registered nurse’s, or physician assistant’s telephone number.

(C) The physician’s medical license number, advanced practice registered nurse’s nursing license number, or physician assistant’s state license number.

(D) The date of the physician’s, advanced practice registered nurse’s, or physician assistant’s signature.

As used in this subdivision, “signature” includes an electronic or physician, advanced practice registered nurse, or physician assistant controlled stamp signature.

(6) A signature line for the qualified person, representative, or proxy, including the following information:

(A) The printed name of the qualified person, representative, or proxy who signed the POST form.

(B) The relationship of the representative or proxy signing the POST form to the qualified person covered by the POST form.

(C) The date of the signature.

As used in this subdivision, “signature” includes an electronic signature.

(7) A section presenting the option to allow a declarant to appoint a representative (as defined in IC 16-36-1-2) under IC 16-36-1-7 or IC 16-36-7 to serve as the declarant’s health care representative.

     (c) The state department shall place the POST form on its website.

     (d) The state department is not liable for any use or misuse of the POST form.

As added by P.L.164-2013, SEC.8. Amended by P.L.81-2015, SEC.13; P.L.67-2018, SEC.12; P.L.10-2019, SEC.74; P.L.50-2021, SEC.61; P.L.86-2023, SEC.13.