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Health Emergency Preparedness and Response Administration DC Medical Orders for Scope of Treatment (MOST) Form Instructions Patient Step 1 Please print the MOST form and take to your authorized DC

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To fill out the DC Health MOST form, follow these steps: 1. Start by downloading the DC Health MOST form from the official website. 2. Open the downloaded form using a PDF reader or editor. 3. Read the instructions and the information provided on the form carefully. 4. Begin filling out the form by providing your personal details such as your name, date of birth, and contact information. 5. Fill in the relevant sections regarding your healthcare preferences and wishes. This may include indicating your preferred healthcare treatments, life-sustaining measures, and end-of-life care choices. 6. If applicable, provide information about your appointed healthcare agent or proxy. 7. Review the completed form for any errors or missing information. 8. Sign and date the form, and if required, have it witnessed or notarized. 9. Keep a copy of the completed form for your records. 10. Submit the form to the appropriate authority or share it with your healthcare provider as instructed in the form or by your local laws or regulations.

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The DC Health MOST form is designed for individuals who wish to express their healthcare preferences and wishes, particularly in emergencies or end-of-life situations. It is beneficial for anyone aged 18 or above who wants to have their medical treatment decisions known and respected. This form is especially relevant for individuals with serious illnesses, chronic conditions, or those nearing the end of their life. Additionally, it is important for anyone who wants to appoint a healthcare agent or proxy to make decisions on their behalf if they become unable to do so.

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