Medical Orders for Life Sustaining Treatment - Patients & Families

How to Complete a MOLST Form

To make a MOLST form valid:
  • A health care professional must complete the MOLST form based on the individual’s preferences and current medical condition.
  • A physician with a valid New York State license must sign the MOLST form
  • Patient consent must be provided and the form must be signed.
Who can provide patient consent and sign the form?
  • A patient with capacity (the ability to make health care decisions) can provide their own consent.
  • If the patient lacks capacity and has designated a health care agent or proxy by completing a Health Care Proxy form, then the health care agent or proxy can provide consent for the patient.
  • If the patient lacks capacity and has not designated a health care agent or proxy by completing a Health Care Proxy form, then “clear and convincing evidence” must be provided. This may be in the form of a living will or repeated oral expression by the patient.