Medical Orders for Life-Sustaining Treatment - Professionals
MOLST LIFE Pack - Life Information Forms in case of Emergency
The MOLST LIFE Pack contains a uniform set of personal health information and medical orders that is available and accessible in the event of an emergency.
The MOLST LIFE Pack contains the following forms:
- Front Clearview Folder
- Medical Orders for Life-Sustaining Treatment (MOLST)
- Health Care Proxy
- Living Will
- Problem List
- Medication List
- Recent Hospital Discharge Summary, if available
- Recent EKG, if available and pertinent
- Emergency Contact List
- Primary Care Physician and Specialists
- Preferred Hospital
- Family/Friends
- Back Clearview Folder
Keep the original MOLST form in the MOLST LIFE Pack as you travel to different care settings. At home keep the MOLST LIFE Pack on the refrigerator door, by the phone in the kitchen, or by your bedside.
In This Section
- Advance Care Planning
- MOLST
- MOLST Training Center
- Frequently Asked Questions
- 8-Step MOLST Protocol
- MOLST Chart Documentation Forms for Adult Patients
- MOLST LIFE Pack
- eMOLST
- MOLST and FHCDA Webinar Series
- EMS MOLST Training
- Resources for MOLST Trainers
- Order Free Educational Materials
- Provider Training
- MOLST Updates
- MOLST Videos
- Implementation Resources
- New York State Legislation
- Ethics Review Committee
- Quality Improvement
- Capacity Determination
- Case-Based Discussions
- CPR
- Share a MOLST Case Study
- Feeding Tubes/PEGS
- Discussion Board
- Research & References
- Resources for Patients & Families
- Conferences & Events
- Archived Educational Curriculum
- Care Transitions Intervention
- Palliative Care
- Pain Management
- Pediatrics
