New York MOLST: Which Checklist Applies
Picks the New York MOLST legal requirements checklist for a patient: #1 to #5 for adults by capacity, proxy, surrogate, and setting, #6 for minors, or the OPWDD checklist.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Adult or minor
- Adult (18 or older)
- Intellectual or developmental disability
- Yes
- Has decision-making capacity
- No
- Has a health care proxy
- No
Result: An adult with a developmental disability, no capacity, and no proxy: the OPWDD checklist, always attached to the MOLST.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Adult or minor
- Intellectual or developmental disability
- Has decision-making capacity (adult)
- Has a health care proxy
- Setting
- An FHCDA surrogate is available
How this is calculated
New York State Department of Health, MOLST legal requirements checklists and General Instructions (page revised June 2025; MOLST Dear Administrator Letter, June 2025). Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.