This portable, enduring medical order for CPR and other life-sustaining treatments is valid in every Maryland health care facility and program and for EMS. It took effect January 1, 2013 and replaced the EMS/DNR form. Clinicians meet it at admission, discharge or transfer, because many facility types must complete or offer it under COMAR 10.01.21.
A physician, nurse practitioner or physician assistant completes the orders in Sections 1 to 9 and signs the practitioner certification on page 1, based on the patient's or authorized decision maker's wishes.
Download the current version from the source each time; forms change without notice.
Maryland Medical Orders for Life-Sustaining Treatment (MOLST)
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
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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Yes. Translations in Spanish, French, Hindi, Korean, Mandarin and Russian are published with cover letters, dated September 1, 2026. They are reference copies to help patients and families understand the form, not separate order forms, and the English MOLST remains the official order.
A physician, nurse practitioner or physician assistant may sign the MOLST order form. Once signed, it is valid across the continuum of care, and physicians, nurses, other health care providers and EMS clinicians are expected to honor it.