Medical Orders for Life Sustaining Treatment - Patients & Families

MOLST: Supplemental Documentation Form for Minors

 

If MOLST is completed for an individual under 18 years old who is not married and/or are not a parent, the MOLST: Supplemental Documentation Form for Minors must be completed as well. Individuals under 18 who are married and/or are parents are treated as adults under New York State law. A lawyer should be contacted if there is any uncertainty about the situation.
 
A parent may give a verbal consent in the presence of 2 witnesses one of whom must be a MD affiliated with the hospital in which the patient is being treated. The decision must be noted in the patient's medical chart.
 
After completion, the MOLST: Supplemental Documentation Form for Minors should be kept with the MOLST form.
 
Download a printable sample of the MOLST Supplemental Documentation Form for Minors

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