Honoring patient preferences is a critical element in providing quality end-of-life care. Medical Orders for Life-Sustaining Treatment (MOLST) is a program designed to improve the quality of care patients receive at the end of life by translating patient goals for care and preferences into medical orders. MOLST is based on communication between the patient, their health care agent or other designated surrogate decision-maker, and health care professionals that ensures shared, informed medical decision-making.
To help physicians and other health care providers discuss and convey a patient's wishes regarding cardiopulmonary resuscitation (CPR) and other life-sustaining treatment, the Department of Health has approved the DOH-5003 MOLST form, which can be used statewide by health care practitioners and facilities.
The MOLST is a medical order form (printed on bright pink paper) signed by a New York State licensed physician, nurse practitioner, physician assistant, or a border state physician that tells others the patient's medical orders for life-sustaining treatment. All health care professionals must follow these medical orders as the patient moves from one location to another, unless a physician, nurse practitioner, or physician assistant examines the patient, reviews the orders, and changes them in consultation with the patient and/or their decision maker.
The MOLST serves as a single document that contains a patient's goals and preferences regarding:
Under State law, the MOLST form is the only authorized form in New York State for documenting both nonhospital Do Not Resuscitate (DNR) and Do Not Intubate (DNI) orders. In addition, the form is beneficial to patients and providers as it provides specific medical orders and is recognized and used in a variety of health care settings.
No. NYSDOH has updated the form several times (most recently in 2022) to make it more user-friendly and to align the form with changes in statute.
However, additional guidelines for withhold/withdrawing treatment not addressed elsewhere on the form can be included in Section F under "Other Medical Orders and Instructions," including, for example, decisions about implantable defibrillators, and the duration of time-limited trials.
A health care proxy and a living will are traditional advance directives for adults 18 years of age and older. These documents are completed when a patient has capacity to do so and only apply when medical decision-making capacity is lost.
To complement the use of traditional advance directives and facilitate the communication of medical orders impacting end-of-life care for patients with advanced chronic or serious illness, the Medical Orders for Life-Sustaining Treatment (MOLST) program was created. The MOLST contains specific and actionable medical orders that transition with the patient across health care settings. Health care proxies and living wills typically contain more general instructions and cannot be followed by EMS providers in an emergency.
In contrast to a health care proxy, the MOLST applies as soon as a patient consents to the orders in it and a physician, nurse practitioner, or physician assistant signs it. It is not conditional on a determination that a patient has lost medical decision-making capacity. The MOLST program is based on the belief that patients have the right to make their own health care decisions, including decisions about life-sustaining treatment, to describe these wishes to health care providers and to receive comfort care while wishes are being honored.
The Department of Health has approved a physician, nurse practitioner, or physician assistant order form DOH-5003 MOLST for use with adult patients and minor patients. MOLST can be used statewide by health care practitioners and facilities.
NYSDOH has created separate instructions for completing the MOLST form with adult and minor patients respectively. The "MOLST Adult General Instructions and Glossary" is intended to assist health care professionals in completing the MOLST form with adult patients and/or their authorized health care decision-makers and can be found at Medical Orders for Life-Sustaining Treatment (MOLST).
NYSDOH has also created a "MOLST Checklist for Minor Patients and Glossary" with instructions to assist health care professionals in completing the MOLST form with minor patients and their parents or other legal guardians with authority to make health care decisions on their behalf. The checklist for minor patients can be found at: Checklist for Minor Patients.
The DOH-5003 MOLST form has been approved for use as a nonhospital DNR/DNI form for persons with developmental disabilities or persons with mental illness, including persons who are incapable of making their own health care decisions or who have a guardian appointed pursuant to Article 81 of the Mental Hygiene Law or Article 17-A of the Surrogate's Court Procedure Act.
If the patient has an intellectual or developmental disability (I/DD) and lacks the capacity to decide, the doctor (not a nurse practitioner or physician's assistant) must follow special procedures and attach the completed Office for People with Developmental Disabilities (OPWDD) MOLST Legal Requirements Checklist for Individuals with I/DD before signing the MOLST. The OPWDD checklist can be found at: OPWDD checklist
The Office for People with Developmental Disabilities (OPWDD) has approved the use of the MOLST form Medical Orders for Life-Sustaining Treatment (MOLST) for the individuals served in the OPWDD system. However, the MOLST form must be accompanied by the OPWDD checklist found at: OPWDD checklist
This means that the MOLST form may only be completed after the Surrogate's Court Procedure Act §1750‑b process has been completed for an individual. Use of the Checklist ensures that the appropriate statutory standards have been met prior to use of the MOLST process. Please note that use of the MOLST form is optional.
The most significant change resulting from approval of the MOLST form by the OPWDD is with respect to non-hospital Do Not Resuscitate (DNR) orders. Previously, such DNR orders were required to be on the DOH-3474 form. Now a non-hospital DNR order can be written on either the DOH-3474 form or the MOLST form (DOH-5003).
The advantage of the MOLST form is that it is transferable to other settings across care transitions. Accordingly, a DNR issued on a MOLST form is effective in hospitals, hospice, nursing homes and community settings.
MOLST is generally for patients with serious health conditions. Physicians, nurse practitioners, or physician assistants should consider consulting with the patient about completing a MOLST form if the patient:
Patients with serious health conditions typically include those who have advanced chronic progressive illness and/or frailty (significant weakness and extreme difficulty with personal care activities) and those who might die or lose medical decision-making capacity in the next year. MOLST also may be appropriate for a patient with advanced age wishing to further define his or her preferences for care.
These patients may:
The MOLST form must be completed based on the patient's current medical condition, values, wishes, and informed consent by the patient or his/her authorized decision-maker.
Completion of the MOLST begins with a conversation or a series of conversations between the patient, the health care agent or the surrogate, and a qualified, trained health care professional that defines the patient's goals for care, reviews possible treatment options on the entire MOLST form, and ensures shared, informed medical decision-making. The conversation should be documented in the medical record. The MOLST orders cannot be issued without the consent of the patient or other medical decision-maker, with the exception of patients covered by Checklist #4 (for adult hospital, hospice, or nursing home patients without medical decision-making capacity who do not have a health care proxy or a Public Health Law surrogate).
Although the conversation(s) about goals and treatment options may be initiated by any qualified and trained health care professional, a licensed physician, nurse practitioner, or physician assistant must always, at a minimum: (i) confer with the patient and/or the patient's health care agent or surrogate about the patient's diagnosis, prognosis, goals for care, treatment preferences, and consent by the appropriate decision-maker, and (ii) sign the orders derived from that discussion. If the physician is licensed in a border state, the physician must insert the abbreviation for the state in which he/she is licensed, along with the license number.
Completion of the entire MOLST form is strongly encouraged. If treatment decisions are not specified and left blank on the MOLST or if the decision is deferred, patients and decision-makers should be made aware that those treatments will then be provided in full to the patient as necessary. Under Section F of the form, if a decision has not been made, the physician, NP, or PA should choose the option "Determine use or limitation if need arises". If the patient or decision-maker reaches a decision concerning the treatment option(s) at a later time, a new form must be completed and signed by a physician, NP, or PA.
The Department has developed Legal Requirements Checklists to assist providers in completing the forms with patients and/or their authorized medical decision-makers in various settings. The checklists are available at: Medical Orders for Life-Sustaining Treatment (MOLST).
Completion of the MOLST begins with a conversation or a series of conversations between the patient, the health care agent or the surrogate, and a qualified, trained health care professional that defines the patient's goals for care, reviews possible treatment options on the entire MOLST form, and ensures shared, informed medical decision-making. The conversation should be documented in the medical record.
Although the conversation(s) about goals and treatment options may be initiated by any qualified and trained health care professional, a licensed physician, nurse practitioner, or physician assistant must always, at a minimum: (i) confer with the patient and/or the patient's health care agent or surrogate about the patient's diagnosis, prognosis, goals for care, treatment preferences, and consent by the appropriate decision-maker, and (ii) sign the orders derived from that discussion. If the physician is licensed in a border state, the physician must insert the abbreviation for the state in which they are is licensed, along with the license number.
Conversations between the health care professional and patient should be shared with the health care agent and family to ensure the health care agent and family are aware of the patient's wishes and to avoid future conflict.
Physicians licensed in a border state may sign a MOLST form. The physician must insert the abbreviation for the state in which he/she is licensed, along with the license number.
The patient or other medical decision-maker (a health care agent or Public Health Law surrogate, if the patient does not have the ability to make medical decisions about life-sustaining treatment) must consent to the MOLST orders, with the exception of patients covered by Checklist #4 (for adult hospital, hospice, or nursing home patients without medical decision-making capacity who do not have a health care proxy or a Public Health Law surrogate).
Yes. Verbal consent is permissible for MOLST orders.
Decision-making standards, procedures, and statutory witness requirements for decisions to withhold or withdraw life-sustaining treatment, including DNR, vary depending on who makes the decision and where the decision is made. Accordingly, the New York State Department of Health developed different checklists for different types of decision-makers and settings. The checklists are available at: Medical Orders for Life-Sustaining Treatment (MOLST).
In addition to the MOLST form itself, the Department has developed legal requirements checklists. The DOH checklists are NOT intended for use with patients with developmental disabilities who lack medical decision-making capacity, or patients with mental illness in a mental hygiene facility.
The checklists are intended to assist providers in satisfying the complex legal requirements associated with decisions concerning life-sustaining treatment for all other patients. They are guidance documents, and the use of these checklists is not mandatory. However, providers that do not use the checklists must use an alternative method for assuring that they adhere strictly to all legal requirements for completing the form, including requirements related to securing informed consent to the medical orders from the proper person, making the clinical judgments necessary to support orders withholding or withdrawing life sustaining treatment and, where applicable, securing ethics committee approval and witnesses to the consent.
Decision-making standards, procedures, and statutory witness requirements for decisions to withhold or withdraw life-sustaining treatment, including DNR, vary depending on who makes the decision and where the decision is made. Accordingly, the New York State Department of Health developed different checklists for different types of decision-makers and settings.
There are 6 different checklists for adult patients:
Checklist #1 - Adult patients with medical decision-making capacity (any setting)
Checklist #2 - Adult patients without medical decision-making capacity who have a health care proxy (any setting)
Checklist #3 - Adult hospital, hospice, or nursing home patients without medical decision-making capacity who do not have a health care proxy, and decision-maker is Public Health Law Surrogate (surrogate selected from the surrogate list)
Checklist #4 - Adult hospital, hospice, or nursing home patients without medical decision-making capacity who do not have a health care proxy and for whom no surrogate from the list is available
Checklist #5 - Adult patients without medical decision-making capacity who do not have a health care proxy and do not have a developmental disability, and the MOLST form is being completed in the community
Checklist #6 - OPWDD Checklist - Adult patients with a developmental disability who do not have medical decision-making capacity and do not have a health care proxy.
For further information on MOLST General Instructions for Adults, please review MOLST General Instructions for Adults.
The Office for People with Developmental Disabilities has developed its own checklist for individuals with developmental disabilities who lack medical decision-making capacity. For information about the OPWDD checklist, please review OPWDD checklist.
In order for a patient's prior decision to withhold or withdraw life-sustaining treatment to be effective in a hospital, nursing home or hospice after they lose capacity to make medical decisions, the prior decision must have been made:
A health care agent may make medical decisions on behalf of a patient, after two physicians concur that the patient lacks medical decision-making capacity. Health care agents are generally authorized to make decisions as if they were the patient. However, sometimes the patient's health care proxy limits the authority of the health care agent.
Health care agents are required to make decisions according to the patient's wishes, including the patient's religious and moral beliefs. If the patient's wishes are not reasonably known and cannot with reasonable diligence be ascertained, the health care agent may make decisions according to the patient's best interests, except a decision to withhold or withdraw artificial nutrition or hydration. Health care agents are authorized to make a decision to withhold or withdraw artificial nutrition or hydration only if they know the patient's wishes regarding the administration of artificial nutrition and hydration.
For further information on legal requirements for adult patients without medical decision-making capacity who have a health care proxy in any setting, please review Checklist 2.
Under the Family Health Care Decisions Act, a surrogate selected from the surrogate list can make any kind of medical decision in a hospital, hospice, or nursing home, after a legally valid determination is made that the patient lacks capacity. For decisions to withhold or withdraw life-sustaining treatment, specific clinical criteria must be satisfied.
Special requirements exist for declining artificial nutrition and hydration in a hospital over the attending physician's, nurse practitioner's, or physician assistant's objection and for decisions other than DNR in a nursing home, if the physician, nurse practitioner, or physician's assistant has determined the patient has an irreversible or incurable condition. In these situations, the facility's ethics review committee must agree. This nursing home requirement does not apply to a decision to withhold or withdraw life-sustaining treatment if death is expected within 6 months with or without treatment, or the patient is permanently unconscious.
For further information on legal requirements for adult hospital, hospice or nursing home patients without medical decision-making capacity who do not have a health care proxy, and the decision-maker is Public Health Law Surrogate (a surrogate selected from the surrogate list), please review Checklist 3.
The attending physician, nurse practitioner, or physician assistant identifies and notifies a person from the class highest in priority who is reasonably available, willing, and competent to serve as a surrogate decision-maker. Such person may designate any other person on the list to be surrogate, provided no one in a class higher in priority than the person designated objects.
In order of highest priority, the appropriate Public Health Law surrogate under FHCDA is:
This is the Public Health Law Surrogate List. There is a different Surrogate List for Persons with Developmental Disabilities who lack capacity to make medical decisions; this list and further information can be found in the Health Care Decisions section of the Office for People with Developmental disabilities website: Health Care Decisions | Office for People With Developmental Disabilities (ny.gov).
Under FHCDA, the physician, nurse practitioner, or physician assistant and a concurring physician, nurse practitioner, or physician assistant must determine to a reasonable degree of medical certainty that cardiopulmonary resuscitation would be extraordinarily burdensome, and:
Decisions made by a FHCDA surrogate under FHCDA must be consistent with the patient's wishes, including religious and moral beliefs; or if the patient's wishes are not reasonably known and cannot be ascertained, in accordance with the patient's best interests. This includes consideration of:
In hospitals, special requirements exist when withdrawing or withholding artificial nutrition and hydration in a hospital over the attending physician's, nurse practitioner's, or physician assistant's objection. If the attending physician, nurse practitioner, or physician assistant objects to the order, the ethics review committee (including a physician, nurse practitioner, or physician assistant who is not directly responsible for the patient's care) or an appropriate court must determine that the medical order meets the required standards.
In nursing homes, for orders to withhold or withdraw life-sustaining treatment other than DNR orders, the ethics review committee, (including at least one physician, nurse practitioner, or physician assistant who is not directly responsible for the patient's care) or an appropriate court must determine that the orders meet the required standards.
Under the Family Health Care Decisions Act, life-sustaining treatment may be withheld from a patient in a hospital or nursing home who does not have a health care proxy or a surrogate, only if a court makes the decision or two physicians, nurse practitioners, or physician assistant authorized by the facility concur that the patient would die imminently, even if the patient received the treatment, and that provision of the treatment would violate accepted medical standards.
For further information on legal requirements for adult hospital, hospice or nursing home patients without medical decision-making capacity who do not have a health care proxy and for whom no surrogate from the surrogate list is available, please review Checklist 4.
In the community, Public Health Law surrogates (surrogates selected from the surrogate list) can consent to a nonhospital DNR order or a nonhospital DNI order, on behalf of patients who lack medical decision-making capacity. If MOLST is being completed in the community for a patient who does not have a health care proxy, the physician, nurse practitioner, or physician assistant may issue other medical orders to withhold life-sustaining treatment - other than DNR and DNI - only if there is clear and convincing evidence of the patient's wishes to refuse the treatment.
If the patient is enrolled in a community-based hospice program, decisions regarding the hospice plan of care may be made by a surrogate without clear and convincing evidence, as long as they comply with the applicable patient-centered and clinical standards for decisions by FHCDA surrogates described above.
"Clear and convincing evidence" is evidence that the patient held a firm and settled commitment to the withholding of life-sustaining treatment in the event of circumstances like the patient's current medical condition. The evidence may be in a written living will, and/or previous oral statements indicating the patient's wishes, considering the circumstances under which such statements were made and to whom. In order to decide whether the evidence of the patient's wishes is clear and convincing; consideration should be given to:
For further information on legal requirements for adult patients without medical decision-making capacity who do not have a health care proxy, and MOLST form is being completed in the community, please review Checklist 5.
Yes.The conversation should be documented in the medical record. The health care professional should document:
For decisions on behalf of a patient who lacks capacity, in the community, other than DNR and/or DNI, "clear and convincing" evidence is needed.
"Clear and convincing evidence" is evidence that the patient held a firm and settled commitment to the withholding of life-sustaining treatment in the event of circumstances like the patient's current medical condition. The evidence may be in a written living will, and/or previous oral statements indicating the patient's wishes, considering the circumstances under which such statements were made and to whom. In order to decide whether the evidence of the patient's wishes is clear and convincing, consideration should be given to:
If there is a disagreement among family members, there are often reasons for conflict unrelated to the underlying medical condition. Attention must be focused on identifying the source of conflict and then proceeding with a plan for conflict resolution. An ethics or palliative care consultation may help.
Family Health Care Decisions Act (FHCDA) defines "decision-making capacity" as the ability to understand and appreciate the nature and consequences of proposed health care, including the benefits and risks of and alternatives to proposed health care, and to reach an informed decision.
Both the Health Care Proxy Law and FHCDA provide that the attending physician, nurse practitioner, or physician assistant determines capacity. The Health Care Proxy Law requires that a second physician, nurse practitioner, or physician assistant provide a concurring determination. The FHCDA also requires a concurring determination of incapacity, but allows the concurring determination to be made by a health or social services practitioner.
If the attending physician, nurse practitioner, or physician assistant has determined that the lack of medical decision-making capacity is due to mental illness, one of the two physicians, nurse practitioners, or physician assistants who determined that the patient lacks medical decision-making capacity must be a qualified psychiatrist.
If the attending physician has determined the individual's lack of capacity to make health care decisions is due to developmental disabilities, either the attending physician, or the concurring physician, or licensed psychologist must: (a) be employed by a developmental disabilities services office (DDSO); or (b) have been employed for at least 2 years in a facility or program operated, licensed or authorized by OPWDD; or (c) have been approved by the commissioner of OPWDD as either possessing specialized training or have 3 years' experience in providing services to individuals with developmental disabilities.
Unlike the prior DNR Law, the FHCDA no longer contains a "personal examination" requirement. As a result, the physician, nurse practitioner, or physician assistant must comply with the applicable professional standard of care. In most instances, that would require a personal examination, but in limited circumstances it might not, such as when the patient lacks capacity as a result of being unconscious or late stage dementia.
No. The attending physician, nurse practitioner, or physician assistant may determine capacity, but must seek consultation with a qualified psychiatrist if the patient has a mental illness or if there is a question regarding the capacity determination. Any qualified physician, nurse practitioner, or physician assistant can determine capacity.
If there is reason to believe the individual lacks capacity due to mental illness, one of the two physicians, nurse practitioners, or physician assistants who determined that the patient lacks medical decision-making capacity must be a qualified psychiatrist. The determination by the qualified psychiatrist is documented in the medical record.
"Qualified psychiatrist" means a physician licensed to practice medicine in New York State, who is a diplomate or eligible to be certified by the American Board of Psychiatry and Neurology or who is certified by the American Osteopathic Board of Neurology and Psychiatry or is eligible to be certified by that board.
Mental illness does not refer to dementia; it includes, but is not limited to conditions such as schizophrenia or acute psychotic episode.
If the individual lacks capacity because of a developmental disability, the concurring opinion must be provided by a physician, or psychologist with special experience or training in the field of developmental disabilities. The physician, or psychologist must: (a) be employed by a developmental disabilities services office (DDSO); or (b) have been employed for at least 2 years in a facility or program operated, licensed or authorized by OPWDD; or (c) have been approved by the commissioner of OPWDD as either possessing specialized training or have 3 years' experience in providing services to individuals with developmental disabilities.
MOLST forms are designed to travel with the individual between care settings.
The form should be kept in the front of the individual's medical chart when the individual is in a facility.
When the individual is at home, the MOLST form should be kept on the refrigerator, by the phone in the kitchen, or by the individual's bedside. In case of emergency, EMS personnel are trained to look for the MOLST form in these locations.
A photocopy of the MOLST form should be made when the individual is transferred from one healthcare setting to another (e.g., being admitted from a nursing home to a hospital). The photocopy of the form should be kept in the medical chart at the original location at the time of care transition. The original form should accompany the individual and be placed in the individual's medical chart at the new care setting.
MOLST forms and all advance directives known to have been completed and documentation of any oral advance directive should be kept together and transferred with patient at discharge.
The physician, nurse practitioner, or physician assistant must review the MOLST form at least every 90 days, and also:
The MOLST remains valid and must be followed, even if it has not been reviewed within the 90-day period.
Public Health Law requires the physician, nurse practitioner, or physician assistant to review non-hospital DNR orders and record the review at least every 90 Days. In hospitals and nursing homes, MOLST orders must be reviewed regularly in accordance with facility policies.
The patient's medical condition, prognosis, values, wishes and goals for his/her care may change over time. The physician, nurse practitioner, or physician assistant should review these orders at the same time as DNR/Allow Natural Death orders are reviewed and the review is recorded.
Review all medical orders in Sections A through F of the MOLST form.
Document the outcome of the review in Section I.
A patient with capacity to make medical decisions regarding life-sustaining treatment may revoke his or her consent to MOLST orders and may ask their physician, nurse practitioner, or physician assistant to change them. If the patient lacks capacity to make health care decisions and there is a change in the goals for care based on a major change in health status, the Health Care Agent or Surrogate may also revoke consent and may request a change in the MOLST. The patient, Health Care Agent or Surrogate must be consulted about any changes recommended by the patient's health care provider. No change can be made without the informed consent of the patient or appropriate decision-maker.
MOLST orders completed in accordance with New York law remain valid when the patient transitions from one health care setting to another. Non-hospital DNR orders, including those on a MOLST form, must be reviewed by a physician, nurse practitioner, or physician assistant at least every 90 days. In addition, all MOLST orders must be reviewed consistent with facility policy and when the patient transitions between care settings, when there is a major change in health status, and when the patient or other health care decision-maker changes their mind about treatment.
Printing the form on bright "pulsar" pink paper is strongly encouraged. When EMS personnel respond to an emergency call in the community, they are trained to check whether the patient has a pink MOLST form before initiating life-sustaining treatment. They might not notice a MOLST form on plain white paper. However, white MOLST forms and photocopies, faxes, or electronic representations of the original, signed MOLST are legal and valid.
Yes. White MOLST forms and photocopies, faxes, or electronic representations of the original, signed MOLST are legal and valid.
Yes. White MOLST forms and photocopies, faxes, or electronic representations of the original, signed MOLST are legal and valid.
Yes. White MOLST forms and photocopies, faxes, or electronic representations of the original, signed MOLST are legal and valid.
Yes. White MOLST forms and photocopies, faxes, or electronic representations of the original, signed MOLST are legal and valid.
No. A stamped signature is not permitted.
Scan the MOLST into the computer at the time of admission and discharge. Review the MOLST at the time of discharge or transition of care and retain an electronic copy. The original pink MOLST form should be given to the patient at the time of discharge. A copy should be retained in the electronic medical record, a copy should go to the primary care physician's, nurse practitioner's, or physician assistant's office and a copy should go to home care agency if the patient has home care.
Yes. Information on eMOLST, an electronic form completion process and documentation system for the MOLST (DOH-5003) and the eMOLST Registry is available at: MOLST | End-of-Life and Palliative Care Planning, MOLST for New York State. (Note: this is not a government site.)
The eMOLST application documents the clinical process, including goals for care discussion, as well as the legal requirements. The eMOLST application upgrades the workflow around completing the information required for a legal medical order with automated user feedback for quality review and notification of missing information and training tools for users. A DOH-5003 MOLST form and a MOLST Chart Documentation Form for adult or minor patients or OPWDD checklist for individuals with developmental disabilities who lack medical decision-making capacity are created.
By moving the MOLST form to a readily accessible electronic format, health care providers, including EMS, will have access to MOLST forms at all sites of care including hospitals, nursing homes and the community. This approach will allow for EMS to view in the event of an emergency and will allow for other systems to view at the time of need, as the document is shared across the care continuum.
No. A properly completed MOLST form contains legal and valid medical orders. It is not intended to replace traditional advance directives like the health care proxy and living will.
Yes. The New York State Department of Health (NYSDOH) approved the physician, nurse practitioner, or physician assistant order form, the Medical Orders for Life-Sustaining Treatment (MOLST), as a Do Not Resuscitate (DNR) form that can be used in any setting.
NYSDOH has updated the MOLST form several times to align the form with changes in statute and to make it more user friendly. The most recent changes to the MOLST were made in 2022.
The MOLST and its supporting checklists can be downloaded from the NYSDOH website at Medical Orders for Life-Sustaining Treatment (MOLST).
Providers are strongly encouraged to use 'Pulsar Pink' paper when replacing their current supply of MOLST forms.
To order MOLST forms, complete the DOH Order Form and email it to bmcc@health.ny.gov. Quantities may be limited.