Kansas and Missouri share this POLST-paradigm form, distributed by the Kansas Medical Society and the Center for Practical Bioethics. It turns the goals and preferences of people with serious illness or frailty into portable orders for CPR, medical interventions and nutrition, that apply whether the patient is in a hospital, a skilled nursing facility or living independently.
A physician or physician assistant signs the orders when the form is completed in Kansas; in Missouri, a physician must sign. The orders reflect a conversation with the patient about goals and preferences.
Download the current version from the source each time; forms change without notice.
Transportable Physician Orders for Patient Preferences (TPOPP)
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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A physician or physician assistant may sign TPOPP when it is completed in Kansas. In Missouri, the same form must be signed by a physician. The Kansas Medical Society offers training slides and a guidebook on filling out the form.
Only minimally. Users agree not to modify the form except to add provider or patient identifiers, a UPC code or a barcode in the blank space in the upper right corner of the first page.