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MM 2 2012-Page 1 of 2 Maryland Medical Orders for Life-Sustaining Treatment (MOST) Patient s Last Name, First, Middle Initial Date of Birth Male Female This form includes medical orders for Emergency
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How to fill out maryland medical orders for

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How to fill out Maryland Medical Orders for:

01
Obtain the necessary form: Visit the Maryland's Department of Health website or contact the healthcare provider to obtain the Maryland Medical Orders for Life-Sustaining Treatment (MOLST) form.
02
Personal Information: Fill out the patient's personal information including their full name, date of birth, address, and emergency contact details.
03
Consent: If the patient is capable of providing consent, they should sign and date the form. If the patient is unable to consent, the healthcare provider or a legally authorized representative can sign on their behalf.
04
Healthcare Agent: If the patient has appointed a healthcare agent, provide their name and contact information. The healthcare agent is the individual authorized to make healthcare decisions on behalf of the patient if they are unable to do so.
05
Treatment Preferences: Indicate the patient's preferences regarding life-sustaining treatments such as CPR (cardiopulmonary resuscitation), intubation, artificial nutrition, and hydration. The patient can choose between "Attempt CPR" or "Do Not Attempt CPR" and specify treatment preferences for other interventions.
06
Medical Practitioner Orders: The healthcare provider should review and complete the medical practitioner orders section of the form. This includes specifying the patient's medical condition, recommended treatments, and any specific instructions.

Who needs Maryland Medical Orders for:

01
Individuals with Advanced Illness: Maryland Medical Orders for Life-Sustaining Treatment (MOLST) are designed for individuals with advanced illnesses who may require life-sustaining treatments in emergencies.
02
Terminal Patients: Patients who have been diagnosed with terminal illnesses or have a limited life expectancy can benefit from having Maryland Medical Orders for clarifying their treatment preferences.
03
Individuals with Chronic Conditions: Those living with chronic conditions or serious medical conditions that may require urgent medical interventions should consider completing Maryland Medical Orders to ensure their treatment preferences are known and respected.
Note: It is important to consult with a healthcare provider or legal professional for specific guidance regarding filling out Maryland Medical Orders, as individual circumstances and state regulations may vary.
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Maryland medical orders are for documenting a patient's medical treatment preferences, especially for end-of-life care.
Maryland medical orders must be filed by healthcare providers and facilities caring for the patient.
Maryland medical orders should be filled out by a healthcare provider with the input of the patient and/or their legal guardian.
The purpose of Maryland medical orders is to ensure that a patient's treatment preferences are honored, even in emergency situations.
Maryland medical orders must include the patient's treatment preferences, including resuscitation, intubation, and other life-sustaining measures.
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