The current Massachusetts MOLST form was posted August 10, 2013.
Please Note: All previously posted versions of the MOLST form remain valid.
Instructions for printing the MOLST form:
- Download the standardized form found on the MOLST web site. Do not alter the MOLST form. EMTs have been trained to recognize and honor the standardized MOLST form.
- Print MOLST forms on bright or fluorescent pink paper for maximum visibility. Astrobrights® Pulsar Pink is the color highly recommended for original MOLST forms. EMTs are trained to look for the bright pink MOLST form before initiating life‐sustaining treatment with patients.
- Print the MOLST form (pages 1 and 2) as a double-sided form on a single sheet of paper.
- Provide an electronic version of the downloaded MOLST form to your institution’s forms department or to personnel responsible for copying/providing forms in your institution.