The Arc New York Guardianship Program

Tools for Decision-Making

This is not a document that an individual can execute on their own, it is a medical order that is issued by a doctor that allows a person to elaborate on their wishes for end-of-life care and various medical procedures after consultation with a doctor. The New York State Office for People with Developmental Disabilities (OPWDD) has developed a checklist for the review of a MOLST with a person with intellectual or developmental disabilities. Medical Order for Life-Sustaining Treatment (MOLST)

Court Order

Legal action can be commenced in the County or Supreme Court for a court order. Papers supporting the need for the medical procedure are filed with the Court. The individual has legal representation (usually through the Mental Hygiene Legal Service) and a hearing can be held on the issues presented. This is typically a last resort when there are no other available options.

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