Planning Your Health Care in Advance, a publication of the New York State Attorney General's office. This booklet contains a health care proxy form and a non-hospital Do-Not-Resiscitate (DNR) form plus lots of information about legal aspects of end-of-life planning.
Medical Orders for Life Sustaining Treatment (MOLST): information from the New York State Attorney General's office.
"The New York State Department of Health has recently approved the Medical
Orders for Life-Sustaining Treatment (MOLST) form. The MOLST form allows doctors to
record your preferences regarding cardiopulmonary resuscitation (CPR), mechanical
intervention, and other life sustaining treatments on to one form as a physician order.
MOLST must be completed by a health care professional and signed by a New York State
licensed physician to be valid.
A valid MOLST form serves as a “Physician Order Form” and can be transferred
with you from one health care setting to another. A sample MOLST form is available at
www.excellusbcbs.com/download/forms/molst_form_web.pdf. To order copies of the
MOLST and patient and provider information, you must complete an order form available
at: www.excellusbcbs.com/download/forms/fax_reorder_forms.pdf and fax it to (585) 238-
4400."
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