File:The MOLST Form.JPG
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Date/Time | Thumbnail | Dimensions | User | Comment | |
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current | 19:12, 9 December 2010 | 1,728 × 3,072 (942 KB) | ISTJonathan | {{Information |Description={{en|1=The New York State Department of Health MOLST form (DOH-5003)}} |Source=I took this picture of a New York State Department of Health form |Author=Jonathan Karmel |Date=December 9, 2010 |Permission= |other_versions= }} |
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