Checklist 5: Adult Patients Without Medical Decision-Making Capacity Who Do Not Have a Health Care Proxy, and Molst Form Is Being Completed in the Community is a legal document that was released by the New York State Department of Health - a government authority operating within New York.
Q: What is Checklist 5?
A: Checklist 5 is a tool used for adult patients without medical decision-making capacity who do not have a health care proxy in New York.
Q: Who should use Checklist 5?
A: Checklist 5 should be used by medical professionals and caregivers who are completing the Molst form in the community for adult patients without medical decision-making capacity and no health care proxy.
Q: What is the purpose of Checklist 5?
A: The purpose of Checklist 5 is to help guide medical professionals and caregivers in making decisions for adult patients without medical decision-making capacity.
Q: What does the Checklist 5 cover?
A: Checklist 5 covers important considerations such as resuscitation preferences, medical interventions, and end-of-life care for adult patients without medical decision-making capacity.
Q: Is Checklist 5 specific to New York?
A: Yes, Checklist 5 is specific to New York and is used in conjunction with the Molst form.
Q: Can Checklist 5 be used if the patient has a health care proxy?
A: No, Checklist 5 is specifically for adult patients without a health care proxy. If a patient has a health care proxy, a different form or process may be required.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New York State Department of Health.