Out-of-hospital DNR order issued on an orange card, honored by EMS and other providers.
- Completed by
- MD, DO, APRN or PA with the patient or representative
- Issued by
- West Virginia Center for End-of-Life Care
- Format
- Sent for each case
- Language
- English
West Virginia POST Form (2026): Scope of Treatment
West Virginia's POST form, adapted from the National POLST model under W. Va. Code 16-30, turns a seriously ill or frail patient's wishes into portable medical orders that every health care clinician, including EMS, can honor. The 2026 version, effective January 1, 2026, covers CPR (Section A), initial treatment level (B), additional orders (C) and medically assisted nutrition (D).
Who completes it
An MD, DO, APRN or PA signs the orders in Section F after a conversation with the patient or their MPOA representative or surrogate, who signs Section E. A nurse, social worker or other professional who assisted is listed on page 2.
Submitting and payment
- How to submit it
- Give the original to the patient and keep a copy in the chart. Fax a readable copy, front and back, to the WV e-Directive Registry when the patient initials the opt-in box.
- Who pays
- The WV Center for End-of-Life Care supplies POST forms to health care provider offices free of charge; patients cannot order them directly.
Good to know
- Choosing YES CPR in Section A requires Full Treatments in Section B; NO CPR can be paired with any Section B option.
- The 2026 signature section adds an authorization box letting the MPOA representative or surrogate update orders if the patient's condition significantly deteriorates. Older versions remain valid.
- The form does not expire but cannot be modified; to change orders, void it, complete a new POST form, and notify the Registry.
- Review the form when the patient changes care setting or primary provider, has a substantial change in health, or changes treatment preferences.
Get the official form
Download the current version from the source each time; forms change without notice.
West Virginia Physician Orders for Scope of Treatment (WV POST)
Fill it with Vero
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.
How this list is checked
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.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
Frequently asked questions
Who can sign a West Virginia POST form?
Only providers with an MD, DO, APRN or PA license may sign the order in Section F. The patient, or their MPOA representative, surrogate or guardian, signs Section E; if a physical signature cannot be obtained, two witnesses sign for verbal consent. Verbal orders are acceptable with a follow-up provider signature.
Is a copy of the WV POST form valid?
Yes. The form states that a copied, faxed or electronic version is a valid medical order, and it does not expire. The most recently completed valid POST form supersedes all earlier ones. Send the form with the patient whenever they are transferred or discharged.
Can patients download a blank WV POST form?
No. The Center posts only a sample. POST forms cannot be mailed to patients for completion and should never be handed over blank. Provider offices order free forms from the Center, which takes about two weeks, and complete them with the patient or their representative.