Get Alaska Most Form - Dhss Alaska

The Alaska MOST Form (Medical Orders for Scope of Treatment) is an essential document that outlines a person's medical treatment preferences. Completing this form with your medical provider ensures clarity about your care choices, helping healthcare professionals provide the treatment you desire.

Follow the steps to fill out the Alaska MOST Form effectively.

1. Press the ‘Get Form’ button to access the Alaska MOST Form and open it in your chosen editor.
2. Begin by filling out the identification section, which includes the individual's last name, first name, middle name, and date of birth. Ensure that all entries are accurate to avoid confusion later.
3. In section A, select one option regarding treatment preferences when the individual is not breathing and has no pulse by checking the appropriate box.
4. Proceed to section B and select one treatment option for when the individual has a pulse and/or is breathing. Choices include comfort measures, limited interventions, a trial of intensive therapy, or full treatment.
5. In section C, indicate the preference for antibiotics by checking one option about the use or limitation of antibiotics for infection.
6. For section D, fill out the preferences regarding artificial nutrition, ensuring that choices are aligned with the individual's health and care wishes.
7. Complete the section for additional orders, summarizing the medical condition and rationale for the chosen orders in the provided space.
8. Identify and write the names and phone numbers of individuals present during the discussion about the orders, checking any relevant relationship options.
9. Have the medical provider sign and date the form after ensuring that all information is accurately filled out.
10. After completing the form, you can save your changes, download a copy for your records, print the document, or share it as needed. Remember that the MOST form must accompany the individual when transferred or discharged.

Start completing the Alaska MOST Form online today to ensure your medical preferences are clearly documented.