LAC 48:I.207. Execution of the LaPOST Form

A. A LaPOST form can only be executed by a competent adult patient or if the patient is incompetent or otherwise lacks capacity, a personal health care representative. B. The LaPOST form must be completed by a physician based on patient preferences and medical indications. C. The LaPOST form shall: 1. list the qualified patient’s last name, first name and middle initial, and date of birth; 2. list the qualified patient’s life-limiting and irreversible condition; 3. check all physician orders that apply. Any section not completed implies full treatment for that section; 4. indicate with whom the physician discussed summary of goals and the basis for the orders; 5. contain the physician’s signature; 6. contain the patient or personal health care representative’s signature and date. D. The LaPOST form can be executed on behalf of a qualified patient by a personal health care representative only if the patient is incompetent to make their own decisions or lacks capacity.