Medical Orders for Life-Sustaining Treatment - Professionals

What to do with a Completed MOLST Form

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 transferred between care settings, a copy of the form should be made and kept in the medical chart at the old location. The original form should accompany the individual and be placed in the individual’s medical chart at the new care setting.

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.