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Cc You Cu Y T v IU Try KO Di S SNG (MOST) ca Tie Bang Massachusetts Patients Name Date of Birth Medical Record Number if applicable: (MOST) www.molstma.org HUNG DN: Mi BNP NHN CN c Juan TM LU y cm
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How to fill out molst form 1 1
How to fill out MOLST form 1 1:
01
First, obtain the form. The MOLST form stands for Medical Orders for Life-Sustaining Treatment, and the specific version is referred to as 1 1. You can typically obtain this form from your healthcare provider or from the agency or organization responsible for overseeing advance care planning in your area.
02
Carefully read the instructions. The MOLST form 1 1 contains important information and instructions on how to accurately complete it. Take the time to thoroughly read and understand these instructions before proceeding to fill out the form.
03
Patient's identification. Begin by carefully filling out the patient's identification information on the form. This generally includes the patient's name, date of birth, address, and other relevant personal details. Make sure to provide accurate information in this section.
04
Healthcare proxy or decision-maker. If the patient has appointed someone as their healthcare proxy or decision-maker, indicate their contact information and relationship with the patient on the form. This person will be responsible for making healthcare decisions on behalf of the patient if they become unable to communicate their wishes.
05
Treatment preferences. This section of the MOLST form 1 1 allows you to specify the patient's preferences for life-sustaining treatments. Choices typically include full treatment, limited treatment, and comfort-focused treatment. Consult the patient and/or their healthcare provider to accurately reflect their wishes in this section.
06
Additional orders and instructions. The MOLST form 1 1 may provide space for additional orders and instructions relevant to the patient's healthcare preferences. This could include specific interventions to be used or avoided, preferred healthcare facilities, or other relevant considerations. Carefully fill out this section, seeking guidance from healthcare professionals if needed.
Who needs MOLST form 1 1?
01
Individuals with serious illnesses or advanced medical conditions who wish to have their treatment preferences documented and honored.
02
Patients nearing the end of life who have decided to forgo or limit certain life-sustaining treatments.
03
Anyone desiring to ensure that their healthcare wishes are respected and followed, particularly in emergency situations where communication may be difficult or impossible.
Remember, the MOLST form 1 1 is a legally binding document that guides healthcare professionals in providing or withholding specific treatments based on the patient's preferences. It is important to discuss the form with the patient's healthcare team, including doctors and other medical professionals, to ensure accurate completion and understanding of its implications.
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What is molst form 1 1?
Molst form 1 1 is a form used for reporting financial information.
Who is required to file molst form 1 1?
All individuals and entities with taxable income are required to file molst form 1 1.
How to fill out molst form 1 1?
Molst form 1 1 can be filled out online or in paper format, following the instructions provided by the tax authority.
What is the purpose of molst form 1 1?
The purpose of molst form 1 1 is to report taxable income and calculate the amount of tax owed.
What information must be reported on molst form 1 1?
On molst form 1 1, individuals and entities must report their income, deductions, credits, and tax liability.
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