§ 35-22-503 — POLST form; who may execute

(a) Any adult who has the capacity to provide informed
consent to, or refusal of, medical treatment may execute a POLST
form.
(b) Any adult authorized pursuant to the laws of this
state or any other state to make medical treatment decisions on
behalf of a person who lacks capacity may execute a POLST form
on behalf of that person.
(c) If a patient who lacks capacity has not executed a
valid advance directive or a valid POLST form, a surrogate may
execute a POLST form on behalf of the patient as provided in
W.S. 35-22-406. If a valid advance directive or POLST form
executed by the patient forbids changes by a surrogate, a
surrogate shall not execute or change a POLST form on behalf of
the patient.
(d) An individual acting in good faith as agent, guardian
or surrogate under this act shall not be subject to civil
liability or criminal prosecution for executing a POLST form as
provided in this act on behalf of a patient who lacks capacity.
(e) If medical orders on a POLST form relate to a minor
and direct that life sustaining treatment be withheld from the
minor, the order shall include a certification by two (2) health
care providers that, in their clinical judgment, an order to
withhold treatment is in the best interest of the minor.