5 Colo. Code Regs. § 1006-3-IV

Current through Register Vol. 47, No. 20, October 25, 2024

Section 5 CCR 1006-3-IV - Criteria in Which an Electronic Affidavit is Required

1. An Electronic Affidavit, signed by the individual or their authorized surrogate, is required for newly executed documents that require both individual and authorized provider signature. These documents include a Colorado Medical Order for Scope of Treatment (MOST) form/Physician Orders for Life-Sustaining Treatment (POLST) form, and a Colorado CPR Directive.

i. Existing, executed documents do not require a new Electronic Affidavit. These documents may be uploaded to the Registry following the procedures outlined below.

ii. It is not required for signatures from the individual and the authorized provider be collected simultaneously.

iii. In situations in which an Electronic Affidavit is required, individuals may submit the affidavit either through the Registry or by electronic or physical signature. If an affidavit is signed outside of the Registry, it must be submitted to the Qualified Provider via physical mail, email, or fax. It is the responsibility of the individual to ensure that their affidavit has been received by the Qualified Provider and appropriately uploaded to the Registry.

2. Other documents that pertain to advance care planning, but do not require physician signature, require only a patient signature (electronic or written) and do not require an Electronic Affidavit for upload. These documents include, but are not limited to, a Medical Durable Power of Attorney or a Living Will.

5 CCR 1006-3-IV

44 CR 11, June 10, 2021, effective 7/15/2021