Medical Orders for Life-Sustaining Treatment (MOLST)

What is a MOLST form?

Medical Orders for Life-Sustaining Treatment (MOLST) is a medical  order that communicates an adult's choices and preferences about the use of life-sustaining treatments to their health care providers (i.e. doctors, emergency room clinicians, and emergency medical personnel (EMS). MOLST is based on a competent adult's right to makes choices for the kind of care they want — no more and no less. The choices are written in the MOLST form, which becomes an actionable medical order for all care providers to honor across all care settings.

Here's how MOLST works:

  • MOLST is for frail adults and those diagnosed with a serious advancing illness
  • You and your clinician discuss your current medical condition and what's ahead for you
  • Your clinician tells you the benefits, risks, and possible outcomes of attempting life-sustaining treatments
  • You make choices about what life-sustaining treatments you want and do not want — it's your choice!
  • You and your clinician write your choices and preferences on the MOLST form, and both sign the form
  • The MOLST form becomes an active medical order and every health care provider involved in your health care follows your choices on the medical order
  • The MOLST form is designed to be revised as your serious illness advances; you can change you mind, update your choices or revoke (cancel) your MOLST form as long as you are competent

Here's how to complete a MOLST form:

  • Review the helpful information below and share with your family
  • Tell your clinician you'd like to know more about your medical condition to make life-sustaining treatment choices in a MOLST form.
  • Your clinician has the MOLST form. You complete the form together.

Did You Know?

doctor-patient conversation

MOLST is a medical order from your clinician, but it's also your personal planning document. You can choose the care you want and don't want.

Speech Bubble Icon says MA LawEvery competent adult has the right to choose the kind of care they want including the use of life-sustaining treatments.

Information and Tools

Find information, links and tools in the boxes below.

Did You Know?

Emergency Services Personal (EMS) will honor a valid MOLST form. Make sure it's easily visible where you live.

Did You Know?

doctor-patient conversation

MOLST is a medical order from your clinician, but it's also your personal planning document. You can choose the care you want and don't want.

Speech Bubble Icon says MA LawEvery competent adult has the right to choose the kind of care they want including the use of life-sustaining treatments.

Did You Know?

Emergency Services Personal (EMS) will honor a valid MOLST form. Make sure it's easily visible where you live.