Checklist #5: Developmental Disability and the 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 document that applies to adult patients in New York who don't have medical decision-making capacity, a health care proxy, or a developmental disability.
Q: Who does Checklist #5 apply to?
A: Checklist #5 applies to adult patients in New York without medical decision-making capacity, a health care proxy, or a developmental disability.
Q: What is the purpose of Checklist #5?
A: The purpose of Checklist #5 is to guide health care professionals in making decisions for adult patients who are unable to make decisions for themselves and have no designated proxy and no developmental disability.
Q: What is the Molst form?
A: The Molst form is a medical orders form used in New York that helps to ensure patients receive the appropriate medical interventions they need, particularly towards the end of life.
Q: When is Checklist #5 used?
A: Checklist #5 is used when the Molst form is being completed in the community for adult patients without medical decision-making capacity, a health care proxy, or a developmental disability.
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.