How to Order Nevada POLST Forms

Because the POLST constitutes a medical order, POLST forms are only available to health care professionals and medical facilities. Individuals interested in completing a POLST should contact their physician.

The State of Nevada Division of Public and Behavioral Health now provides all state authorized Nevada POLST forms.

They may be picked up or mailed with a FedEx account number. Current pickup locations are below. We hope to expand these locations in the near future.

Order POLST Forms

> Click here to order POLST Forms. Please note that the order process now includes a short survey.


  • Las Vegas: 4220 S. Maryland Pkwy., Suite 810, Bldg. D, 89119; Phone: 702-486-6515
  • Carson City: 727 Fairview Drive, Suite E, 89701; Phone: 775-684-1030
  • Reno: Dini Townsend Hospital, 480 Galletti Way, Building D, Sparks, NV 89431 – Look for the gazebo when approaching from the north at Northern Nevada Adult Mental Health Services campus. Use the main entrance to Dini Townsend and go to the front desk.