MOLST Overview and Instructions for Use
This file provides comprehensive information about the MOLST medical order form, detailing its purpose, usage, and instructions for filling it out. It outlines frequently asked questions and important guidelines for both healthcare professionals and patients. Ensure you understand the MOLST form's significance in end-of-life care.
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How do I fill this out?
Filling out the MOLST form involves understanding your current medical situation and discussing your treatment options with your clinician. It's essential to reflect on your personal values and goals when making decisions about life-sustaining treatments. Ensure that all necessary sections are completed accurately before signing.

How to fill out the MOLST Overview and Instructions for Use?
1
Discuss your current medical condition with your clinician.
2
Understand the possible outcomes and treatment options.
3
Identify your values and goals concerning care.
4
Complete all sections of the MOLST form with your clinician.
5
Sign the form in the presence of a witness.
Who needs the MOLST Overview and Instructions for Use?
1
Patients with life-limiting illnesses who want to document their treatment preferences.
2
Clinicians who guide patients through the process of end-of-life care planning.
3
Family members of patients wanting clarity on treatment decisions.
4
Health professionals involved in patients' care requiring immediate instructions.
5
Care facilities that need standardized forms for patient documentation.
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Editing your MOLST PDF on PrintFriendly is simple. You can modify text fields directly to reflect your current medical decisions. Just save your changes and download the updated document.
1
Open the MOLST PDF in PrintFriendly.
2
Click on text fields to edit your information.
3
Adjust any necessary sections before finalizing.
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Review all changes for accuracy.
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What are the instructions for submitting this form?
To submit the MOLST form, please ensure it is completed and signed. You can submit it via fax at 1-800-555-1234, or email it to submissions@healthcare.org. Additionally, physical copies can be mailed to our administrative office at 123 Health St., Wellness City, CA 12345. Always verify the contact details before submission.
What are the important dates for this form in 2024 and 2025?
The MOLST form does not have specific expiration dates but should be periodically reviewed, especially when the patient's medical condition changes. Providers are encouraged to discuss MOLST options during annual check-ups or when significant health changes occur. In 2024 and 2025, consider re-evaluating care preferences during each healthcare visit.

What is the purpose of this form?
The purpose of the MOLST form is to provide clear medical orders regarding an individual's treatment preferences, particularly for patients with serious or terminal illnesses. This form facilitates communication between patients, families, and healthcare providers, ensuring that everyone understands the patient's wishes regarding life-sustaining treatment options. By using the MOLST form, patients can make informed decisions about their care, promoting dignity and autonomy in their healthcare planning.

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

- 1. Patient Information: Contains the patient's name, date of birth, and medical record number.
- 2. Treatment Preferences: Documents specific preferences for life-sustaining treatments.
- 3. Signatures: Requires the patient's signature, clinician's signature, and a witness.
- 4. Review Date: Section for medical personnel to indicate when the form should be reviewed.
- 5. Emergency Contact: Includes contact information for the patient's primary caregiver or family member.
What happens if I fail to submit this form?
Failure to submit the MOLST form may result in healthcare providers not being aware of a patient's treatment preferences. This can lead to interventions that the patient may not want or has not agreed to.
- Lack of Clarity: Without the MOLST form, healthcare teams may not understand the patient's wishes regarding life-sustaining treatment.
- Unwanted Interventions: In an emergency, healthcare providers may perform life-sustaining procedures that the patient wanted to avoid.
- Patient Confusion: Patients may become distressed if their treatment preferences are not followed due to missing documentation.
How do I know when to use this form?

- 1. End-of-Life Planning: When patients are approaching the end stage of a life-limiting illness.
- 2. Life-Sustaining Treatments: To document specific medical interventions the patient wishes to receive or forego.
- 3. Transfer of Care: When patients are transitioning between healthcare settings, ensuring continuity of care.
Frequently Asked Questions
What is the MOLST form?
The MOLST form is a medical order that ensures your treatment preferences are honored by healthcare providers.
Who can fill out the MOLST form?
The form should be completed in discussion with a licensed clinician.
Can the MOLST form be changed?
Yes, you can void the previous MOLST form and request a new one at any time.
What if my condition changes?
You may choose to update the MOLST form to reflect any changes in your health status.
Where should the MOLST form be kept?
Keep the MOLST form with the patient, ensuring it's accessible to all healthcare personnel.
Is the MOLST form valid in other states?
While it may be honored in some states, you should consult with local providers about its validity.
Does the MOLST form expire?
If no expiration date is indicated, the MOLST form does not have an expiration.
How do I get a MOLST form?
You can obtain a MOLST form from a healthcare provider trained in this practice.
What does MOLST stand for?
MOLST stands for Medical Orders for Life-Sustaining Treatment.
Can family members influence MOLST decisions?
Yes, discussions can include family members, but the final decisions should be documented by the patient and clinician.
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