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ORDER FORM Do Not Resuscitate (DNR) Medical Orders for Scope of Treatment (MOST) The Medical Orders for Scope Of Treatment (MOST) form and the Do Not Resuscitate (DNR) form May only be ordered by.

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How to fill out the Most Form Nc online

Filling out the Most Form Nc online is an essential step for those seeking to establish their medical orders for scope of treatment in North Carolina. This guide provides you with clear, step-by-step instructions that will help you navigate the process with ease.

Follow the steps to complete the Most Form Nc online

  1. Click ‘Get Form’ button to obtain the form and open it for completion.
  2. In the 'Ship To' section, clearly enter your name, organization (if applicable), and the business shipping address, including city, state, and zip code. Ensure all information is accurate and legible, using black or blue ink if you are printing the form.
  3. Provide your telephone number in the designated field so that the processing office can reach you if needed.
  4. In the 'Description' field, indicate whether you are ordering the MOST form (pink) or the DNR form (yellow) by simply stating your choice.
  5. Specify the 'Quantity' for the forms you wish to order. Remember that the cost is 4 cents for each form.
  6. Calculate the 'Amount for Forms' by multiplying the total number of forms ordered by $0.04.
  7. Determine your 'Shipping Cost' based on the number of forms, following the established cost structure provided in the form.
  8. Total the 'Amount Due' by adding the cost of forms to the shipping cost. Make your check or money order payable to the N.C. Division of Health Service Regulation.
  9. Finally, enclose your payment with the completed form and mail it to the address specified in the form for processing.
  10. After sending your order, keep track of it and ensure you receive confirmation of processing for your records.

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A MOST form, however, is the first medical order in North Carolina to require a patient or patient representative signature on the form. A MOST form does not replace an advance directive; rather it is another mechanism to ensure that patient wishes for medical treatment at the end of life are known and honored.

MOST is a medical order and must be signed and dated by a licensed physician (MD/DO), physician assistant, or nurse practitioner to be valid. Be sure to document the basis for the order in the progress notes of the medical record. Mode of communication (e.g., in person, by telephone, etc.)

The Medical Orders for Scope of Treatment (MOST) form provides the patient's choices about end-of-life treatment, cardiopulmonary resuscitation (CPR), transfer to hospital facilities, and other end-of-life issues.

A portable DNR order, such as Comfort One, tells health care providers, and EMS only, that the patient does NOT want to be resuscitated. A MOST is for patients with a terminal illness and includes decisions regarding code status and other types and levels of treatment.

A portable DNR order, such as Comfort One, tells health care providers, and EMS only, that the patient does NOT want to be resuscitated. A MOST is for patients with a terminal illness and includes decisions regarding code status and other types and levels of treatment.

A MOST is an option for all adults. However, it is especially important for adults with an advancing illness or chronic condition that is life limiting or life threatening. Even if you have a MOST, you will always be asked to provide direction for your health care as long as you are capable.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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