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Medical Orders for Life-Sustaining Treatment (MOLST) NEW YORK STATE DEPARTMENT OF HEALTH THE PATIENT KEEPS THE ORIGINAL MOLST FORM DURING TRAVEL TO DIFFERENT CARE SETTINGS. THE PHYSICIAN KEEPS A COPY.
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Document Date: 2013-06-20 01:21:55
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File Size: 56,19 KB
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City
Hospital /
/
IndustryTerm
long-term care services /
liquid food /
food /
/
MedicalCondition
pain /
airway obstruction /
electric shock /
infection /
shortness of breath /
infections /
developmental disability /
/
MedicalTreatment
Cardio-Pulmonary Resuscitation /
Resuscitation /
CPR /
catheter /
dialysis /
mechanical ventilation /
Antibiotics /
/
Organization
NEW YORK STATE DEPARTMENT /
Physician’s Office /
/
Person
Minor /
/
Position
PHYSICIAN /
PRINT PHYSICIAN /
This MOLST Form The physician /
Surrogate Physician /
PHYSICIAN SIGNATURE PRINT PHYSICIAN NAME PHYSICIAN LICENSE NUMBER PHYSICIAN /
/
ProvinceOrState
New Hampshire /
/
Technology
dialysis /
/
SocialTag
Euthanasia
Healthcare law
Medical terms
Medical Orders for Life-Sustaining Treatment
hospice
Do not resuscitate
Advance health care directive
Cardiopulmonary resuscitation
Health care proxy
Medicine