Edit, Download, and Sign the Medical Orders for Life-Sustaining Treatment MOLST
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How do I fill this out?
To fill out the MOLST form, begin by gathering necessary patient information including identification and contact details. Carefully read each section and select the appropriate options reflecting the patient's wishes for life-sustaining treatments. Ensure that the form is signed by the appropriate individuals, including healthcare professionals as required.

How to fill out the Medical Orders for Life-Sustaining Treatment MOLST?
1
Gather patient information and necessary documentation.
2
Review and understand the treatment options provided.
3
Select the appropriate instructions for resuscitation and life-sustaining measures.
4
Obtain the necessary signatures from decision-makers.
5
Keep the original MOLST form accessible for healthcare providers.
Who needs the Medical Orders for Life-Sustaining Treatment MOLST?
1
Patients with advanced illnesses who need to clarify their treatment wishes.
2
Healthcare proxies seeking to ensure adherence to patient preferences.
3
Caregivers managing the treatment of individuals lacking capacity.
4
Healthcare providers needing a clear understanding of life-sustaining requirements.
5
Individuals with intellectual or developmental disabilities ensuring appropriate legal documentation.
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Editing the MOLST form has never been easier with PrintFriendly! Simply open your document in our editor and start making necessary changes with just a few clicks. Save your edits and prepare your personalized version for printing or sharing.
1
Open the MOLST form in PrintFriendly's PDF editor.
2
Click on the text fields to enter or modify patient details.
3
Select options provided in each section to reflect patient wishes.
4
Review all changes for accuracy before saving or printing.
5
Finalize the document and choose your preferred sharing method.

What are the instructions for submitting this form?
To submit the MOLST form, ensure it is meticulously completed and signed by all required parties. You can fax the form to the patient's healthcare facility at [insert fax number] or email it to [insert email address]. Additionally, provide a physical copy to the health care provider during the patient's next appointment for proper documentation.
What are the important dates for this form in 2024 and 2025?
Key dates for the MOLST form review include every 90 days, or whenever there are significant changes in the patient’s health status, especially in 2024 and 2025.

What is the purpose of this form?
The MOLST form serves to ensure that patients with advanced illnesses can clearly articulate their wishes for medical treatment. This document allows healthcare providers to understand and respect the patient's choices regarding life-sustaining treatments. It is a vital legal instrument, ensuring that patient decisions are honored throughout the care continuum.

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

- 1. Patient Information: Collects personal details of the patient, including name, address, and emergency contacts.
- 2. Resuscitation Instructions: Outlines patient preferences for CPR and resuscitative measures.
- 3. Life-Sustaining Treatment Orders: Details specific orders about medical interventions when the patient is breathing.
- 4. Consent Section: Records signature and consent from the individual making treatment decisions.
- 5. Review and Renewal: Guidelines for the periodic review of the MOLST form to ensure its relevance.
What happens if I fail to submit this form?
Failing to submit the MOLST form can result in a lack of clarity regarding the patient's wishes for life-sustaining treatment. This may lead to unwanted medical interventions that do not align with the patient's preferences.
- Miscommunication: Without the MOLST form, healthcare providers may make assumptions about treatment preferences.
- Unwanted Treatments: There is a risk that patients may receive unwanted life-sustaining treatments.
- Legal Complications: Failure to use the form may lead to legal issues regarding a patient’s treatment directives.
How do I know when to use this form?

- 1. Chronic Illness Management: For patients managing chronic illnesses where long-term care decisions are necessary.
- 2. Emergency Situations: When a patient may face an emergency where treatment decisions need to be made rapidly.
- 3. Patients with I/DD: Individuals with intellectual or developmental disabilities who require specific treatment guidelines.
Frequently Asked Questions
What is the MOLST form?
The MOLST form outlines a patient's preferences for life-sustaining treatments and medical interventions.
Who can fill out the MOLST form?
Patients, healthcare proxies, and legal guardians can complete the MOLST form to specify care preferences.
How do I edit the MOLST form?
Use PrintFriendly's editing tools to modify text fields according to your needs.
How often should the MOLST form be reviewed?
The MOLST form should be reviewed at least every 90 days or anytime there is a change in patient condition.
Can I share the MOLST form directly from PrintFriendly?
Yes, you can easily share your document via email or links directly within PrintFriendly.
What if the patient cannot make decisions for themselves?
A designated healthcare proxy can fill out the MOLST form on behalf of the patient.
How do I sign the MOLST PDF?
You can add signatures electronically within the PrintFriendly editor before finalizing the document.
Are there any limitations on editing the MOLST form?
You can freely edit the MOLST form as needed, ensuring all information is accurate.
What happens if the MOLST form is not submitted?
Failure to submit the MOLST form may lead to miscommunication of treatment preferences among healthcare providers.
Is the MOLST form legally binding?
Yes, the MOLST form is a legally recognized document that must be followed by healthcare providers.
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