ALASKA MOST FORM
Attached is the Alaska MOST (Medical Orders for Scope of Treatment) Form.
This form is to be filled out by your medical provider after discussion with you and your
family regarding your medical choices. You can change your mind about your medical care
choices at any time. If you do change your mind, your medical provider will need to complete
and sign a new MOST form, as the information contained in the form are approved medical
The MOST form will help your medical provider, the Pioneer Home staff and hospital staff
understand clearly and quickly what kind of treatment you do or do not want.
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This MOST form must accompany person when transferred or discharged.
Alaska MOST Task Force