Seriously ill District patients can have their treatment choices written as medical orders that are valid in all care settings, including hospitals, until replaced by new orders. The MD, DO or APRN records CPR status, full, selective or comfort-focused treatment, medically assisted nutrition and antibiotic use after shared decision-making with the patient or representative. An electronic version, eMOST, is available through CRISP DC.
An MD, DO or APRN completes Sections A through C and signs Section D with a license number, and the patient or legal authorized representative also signs. A representative may sign only if the patient is mentally incapacitated.
Download the current version from the source each time; forms change without notice.
DC Medical Orders for Scope of Treatment (MOST)
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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The current DC MOST form calls for an MD, DO or APRN signature, and DC Health's MOST page names physicians (MD or DO) and APRNs only. Verbal orders are acceptable with a follow-up MD, DO or APRN signature in accordance with facility or community policy.
Yes. The eMOST is a cloud-based format accessed through CRISP DC, the District's designated health information exchange, using the MyDirectives for Clinicians platform. Users can also scan and upload existing paper MOST forms. D.C. Law 23-62 provides the authority for the electronic format.