MOLST for Minors

Medical Orders for Life Sustaining Treatment (MOLST) for Minors

MOLST is a program designed to improve the quality of care patients receive at the end of life by translating patient goals for care and preferences into medical orders. MOLST is based on communication between the patient, his or her health care agent or other designated surrogate decision-maker, and health care professionals that ensures shared, informed medical decision-making.

The Department of Health has approved a physician order form DOH-5003 MOLST for use with adult patients and minor patients. MOLST can be used statewide by health care practitioners and facilities. NYSDOH has created a "Legal Requirements Checklist for Minor Patients" with instructions to assist health care professionals in completing the MOLST form with minor patients and their parents or other legal guardians with authority to make health care decisions on his or her behalf.

Download the checklist for minor patients.