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  1. 10 sie 2013 · Print the MOLST form (pages 1 and 2) as a double-sided form on a single sheet of paper. Provide an electronic version of the downloaded MOLST form to your institution’s forms department or to personnel responsible for copying/providing forms in your institution.

  2. Learn about the statewide standardized forms for documenting life-sustaining treatment decisions. Find protocols, forms, and resources for patients, providers, and EMS personnel.

  3. The Massachusetts MOLST form is revised periodically. Please Note: All previously posted versions of the MOLST form remain valid. For Clinicians and Healthcare Institutions: Download the MOLST form. Download the Clinician Checklist for MOLST form use. For Everyone: Download a health care proxy form (for all adults aged 18 and older)

  4. MOLST is a form that documents a patient's wishes for life-sustaining treatment. Learn about the transition to POLST, a similar form, in 2024-2025 and find resources and FAQs on MOLST.

  5. MOLST is a medical order form that relays instructions about a patient’s care preferences for life-sustaining treatments. Learn how to fill out a MOLST form, when to use it, and where to get more information from Brigham and Women's Faulkner Hospital.

  6. Learn about the changes from MOLST (Medical Orders for Life Sustaining Treatment) to POLST (Portable Order for Life-Sustaining Treatment) in Massachusetts. Find out when, why and how the transition will happen, and what resources are available for patients and providers.

  7. The MOLST form acts like a baton. For example, if a doctor sees you in the emergency room and you have a conversation about your life-sustaining treatments decisions, you can fill out the MOLST form to reflect how far you got in your conversation.

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