Kentucky's standardized medical order, set by KRS 311.6225 and 201 KAR 9:470, records a seriously ill patient's choices on CPR, medical interventions, artificially administered fluids and nutrition, and antibiotics. Clinicians complete it with the patient, surrogate or responsible party, and the order then travels with the patient across settings. The Board of Medical Licensure posted an updated fillable version in July 2024.
The patient's physician discusses the options, signs Section D and attests that the orders match the patient's condition and preferences, while a licensed health care professional attests to reviewing any advance directive. The patient, surrogate or responsible party also signs.
Download the current version from the source each time; forms change without notice.
Kentucky Medical Orders for Scope of Treatment (MOST)
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Yes. The Kentucky Board of Medical Licensure posts a Spanish version of the MOST form, updated in July 2024, alongside the English fillable and printable form. The physician signature and the patient, surrogate or responsible party signature are both required, and e-signed documents are valid.
The form allows a workaround: when the surrogate or responsible party is not reasonably available to sign the original, a copy of the completed form bearing their signature or electronic signature is signed by the patient's physician and placed in the medical record. The basis for the orders and how consent was obtained should be documented in the progress notes.