eForms Logo

New York Medical Orders for Life­ Sustaining Treatment (MOLST)

The New York Medical Orders for Life­ Sustaining Treatment (MOLST) communicates a patient's wishes regarding life-sustaining treatments and are often used by those in the critical stages of an illness or old age. If a MOLST is in the patient's medical record, they will not be given CPR in the event of a cardiac arrest or respiratory failure.
4.7 Stars | 20 Ratings
Downloads: 295
  • Laws – Senate Bill S7883
  • Required to Sign – Both the patient (or their representative) and the attending physician must sign. Also requires the printed names of two witnesses.
  • Spanish (Español) Version PDF

Sample