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How do I fill this out?

Filling out the MOLST form requires understanding the patient's wishes regarding life-sustaining treatment. It is crucial to work closely with a physician to ensure accuracy. Each section of the form needs careful consideration based on the patient's health status and preferences.

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How to fill out the Medical Orders for Life-Sustaining Treatment?

  1. 1

    Gather patient information, including name, date of birth, and wishes.

  2. 2

    Discuss treatment options and preferences with a physician.

  3. 3

    Complete the sections on resuscitation and medical interventions.

  4. 4

    Obtain necessary signatures from the physician and decision-maker.

  5. 5

    Review the form periodically to ensure it reflects current wishes.

Who needs the Medical Orders for Life-Sustaining Treatment?

  1. 1

    Individuals with serious health conditions need this form to communicate their treatment preferences.

  2. 2

    Patients in long-term care facilities require it to inform caregivers about their wishes.

  3. 3

    Family members of patients unable to express their wishes may need it for guidance on decision-making.

  4. 4

    Health care proxies require this document to understand and execute the patient's wishes.

  5. 5

    Physicians need the MOLST form to follow legal requirements and uphold patient preferences.

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What are the instructions for submitting this form?

To submit the MOLST form, contact the health facility or medical provider where the patient receives care. It may be submitted via email or fax, depending on the facility’s policies. Make sure to keep a copy for your records, and consult with a healthcare provider if you have questions about the submission process.

What are the important dates for this form in 2024 and 2025?

Key dates for the MOLST form include the periodic review requirement and any updates mandated by law, typically occurring at the start of each calendar year. Ensure that all relevant changes are reflected in the document by these timelines.

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What is the purpose of this form?

The purpose of the MOLST form is to ensure that a patient's wishes for life-sustaining treatment are clearly documented and respected. This form facilitates communication among patients, families, and healthcare providers regarding critical medical decisions. It serves as a legal document guiding care decisions across various healthcare settings.

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Tell me about this form and its components and fields line-by-line.

The MOLST form consists of several sections, each addressing specific treatment options and directives.
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  • 1. Patient Information: Includes details like name and date of birth.
  • 2. Resuscitation Instructions: Outlines patient wishes regarding CPR and DNR orders.
  • 3. Consent: Authorizes the decision-maker to act on behalf of the patient.
  • 4. Physician Signature: Requires signature and contact information of the physician.
  • 5. Advance Directives: Checks any existing advanced directives that align with the patient's wishes.

What happens if I fail to submit this form?

If the MOLST form is not submitted, healthcare providers may lack clarity on a patient's treatment preferences. This can result in care that does not align with the patient’s wishes or inadequate communication among care teams.

  • Lack of Clarity: Without the form, healthcare decisions might not reflect the patient's desires.
  • Increased Stress: Family members may face additional stress without clear instructions on treatment preferences.
  • Potential Legal Issues: Failure to submit the form can lead to legal complications regarding a patient's care.

How do I know when to use this form?

Use the MOLST form when a patient faces serious health conditions where life-sustaining treatment decisions are necessary. It is especially relevant for patients nearing the end of life or those who want to outline their treatment preferences explicitly.
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  • 1. Severe Illness: Patients with critical illnesses may require explicit instructions.
  • 2. End-of-Life Care: Essential for guiding treatment at the end of life.
  • 3. Transitional Care: Useful when patients transition between care settings.

Frequently Asked Question

What is the MOLST form?

The MOLST form is a medical order that outlines a patient’s preferences regarding life-sustaining treatment.

How can I edit the MOLST form?

You can edit the MOLST form using the PrintFriendly editor to reflect any necessary changes.

Who can sign the MOLST form?

The MOLST form must be signed by a physician and a legal decision-maker for the patient.

Is the MOLST form valid in all care settings?

Yes, the MOLST form is recognized across various care settings in New York State.

What happens if I don't complete the MOLST form?

Without a completed MOLST form, health care providers may not have clear guidance on a patient's wishes.

How often should the MOLST form be reviewed?

The MOLST form should be reviewed periodically, especially after any significant health changes.

Can a family member fill out the MOLST form?

A family member can assist in completing the form, but it must be based on the patient's wishes.

Where can I find the MOLST form?

The MOLST form can be obtained from health care providers or online resources.

What is a health care proxy?

A health care proxy is someone designated to make medical decisions on behalf of a patient.

How do I submit the MOLST form?

Details for submitting the MOLST form will be outlined in the instructions section of this page.

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Medical Orders for Life-Sustaining Treatment

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