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URING TRAVEL TO DIFFERENT CARE SETTINGS. THE PHYSICIAN KEEPS A COPY. LAST NAME/FIRST NAME/MIDDLE INITIAL OF PATIENT ADDRESS CITY/STATE/ZIP Male Female eMOLST NUMBER (THIS IS NOT AN eMOLST FORM) DATE OF BIRTH (MM/DD/YYYY) Do Not Resuscitate (DNR) and Other Life Sustaining Treatment (LST) This is a medical order form that tells others the patient s wishes for life sustaining treatment. A health care professional must complete or change the MOLST form, based on the patient s current.

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The MOLST form is a set of medical orders for patients with advanced illness who might die within 1-2 years; require long-term care services; or wish to avoid and/or receive specific life-sustaining treatments now.

The primary differences between the MOLST form and a DNR are: MOLST covers a variety of end-of-life treatments. A DNR only gives instructions about CPR. The MOLST form can also be used in a community setting where the DNR is intended to be used as a directive in a hospital setting.

Medical Orders for Life-Sustaining Treatment (MOLST) is a program designed to improve the quality of care patients receive at the end of life by translating patient goals for care and preferences into medical orders.

MOLST is intended for patients with serious health conditions who: Want to avoid or receive any or all life-sustaining treatment; Reside in a long-term care facility or require long-term care services; and/or. Might die within the next year.

Medical orders regarding life-sustaining treatments are established by a practitioner regarding treatments that restore, sustain or prolong a patient's life. These types of medical orders are intended to be consistent with the patient's instructions and wishes.

Advance directives (like a health care proxy and living will) document future care preference and are difficult to interpret in an emergency. Advance directives are for everyone 18 years of age and older. MOLST is a set of medical orders that defines life-sustaining treatment the patient wants to receive or avoid now.

Advance directives (like a health care proxy and living will) document future care preference and are difficult to interpret in an emergency. Advance directives are for everyone 18 years of age and older. MOLST is a set of medical orders that defines life-sustaining treatment the patient wants to receive or avoid now.

If the patient loses the ability to make MOLST decisions and the patient has already made decisions to withhold certain life-sustaining treatment (e.g. Do Not Resuscitate (DNR) and Do Not Intubate (DNI), the health care agent or surrogate cannot undo the patient's decision.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232