Kentucky MOST form
Medical orders for end-stage care, signed by your physician.
What this document does
A Kentucky MOST form (KRS 311.6225) — Medical Orders for Scope of Treatment — translates a patient's treatment preferences into actionable medical orders that emergency responders, hospitals, and long-term care facilities will follow.
Unlike a Living Will Directive, which expresses your wishes for the future, a MOST form is a present medical order signed by your physician. It governs decisions like CPR, intubation, antibiotics, and artificial nutrition for patients who are seriously ill or near the end of life.
What's in your draft
You make choices in four sections: (A) CPR election, (B) medical interventions when you have a pulse and breathing, (C) artificial fluids and nutrition, (D) antibiotics and additional preferences.
A patient or representative signature line documents that the choices reflect the patient's wishes. Per KRS 311.6225, the patient's signature is not strictly required to receive treatment, but it is strongly recommended.
Why this requires physician signature
A MOST form is a medical order, not just a personal directive. The physician's signature is the gating event — without it, the form is not a valid order. Bluegrass Cornerstone generates the draft form from your input and sends it to your physician (with your consent) for review and signature.
If you don't already have a primary-care or specialist physician engaged with your situation, the MOST form is generally not the right starting point. The Living Will Directive (KRS 311.625) is the patient-executed advance directive most people start with first.
Kentucky statute
What happens after you start
Your draft is assembled from your answers, reviewed by Elton Johnson before delivery, and sent to you via secure one-time-use download link. The delivery includes the document itself, a Kentucky-specific wet-ink execution instructions packet, and a receipt.
The information on this page is general — it is not legal advice for your specific situation. Bluegrass Cornerstone is a service of Johnson Legal PLLC, a Kentucky law firm. When you engage Cornerstone, you engage Johnson Legal PLLC under a standard attorney-client relationship.
What you are agreeing to when you engage the Firm for this document
About this engagement
Bluegrass Cornerstone is the law firm Johnson Legal operating under the Cornerstone brand. Engaging the Firm for the document described on this page creates an attorney-client relationship governed by the Kentucky Rules of Professional Conduct, SCR 3.130. The Firm’s intake system is attorney-authored and attorney-supervised. The intake system explains statutory terms and collects facts; it does not recommend instruments or give legal advice. Elton Johnson, the Firm’s Kentucky-admitted supervising attorney, personally reviews every document the Firm generates before delivery (KBA Ethics Opinion E-457, March 2024).
Statutory authority — Kentucky Medical Order for Scope of Treatment (MOST)
The Kentucky MOST form drafted under this engagement is governed by KRS 311.6225. The form’s required structure (Section A on cardiopulmonary resuscitation, additional sections on medical interventions and artificially-administered nutrition) and the introductory required statements are prescribed at KRS 311.6225(2). The relationship between MOST and any existing Living Will or Healthcare Power of Attorney is governed by the definition at KRS 311.621(12). Important: A MOST form is a medical order signed by the patient (or the patient’s legal surrogate or responsible party) AND the patient’s physician under KRS 311.6225. The Firm prepares the form for execution at the patient’s physician’s office; physician execution is outside the Firm’s scope.
Flat fee, advance fee
The price displayed on this page is a flat fee, designated as an advance fee under SCR 3.130(1.5)(f). The Client provides informed consent to the flat fee by signing the Engagement Letter that appears immediately before payment. If the Firm cannot complete the named document, the advance fee is refunded in full. If the Client terminates the engagement before delivery, the advance fee is refunded minus a reasonable charge for work already performed (SCR 3.130(1.16)(d)).
Confidentiality
Information the Client shares with the Firm during intake and throughout the engagement is protected by the attorney-client confidentiality duty under SCR 3.130(1.6). The Firm does not reveal information relating to the representation except with informed consent, where impliedly authorized to carry out the representation, or where SCR 3.130(1.6)(b) permits or requires disclosure.
Scope limit — no litigation
Engagement for the document described on this page is limited to drafting that specific document. It does NOT include representation in any litigation, dispute, contested matter, court proceeding, administrative proceeding, or negotiation with third parties. If a dispute or litigation arises, a separate engagement is required.
Copyright and Authored Work
This page and the legal explanations, intake-tree logic, document templates, and plain-language definitions presented in the Cornerstone catalog are © 2026 Johnson Legal d/b/a Bluegrass Cornerstone. All rights reserved. This copyright notice and the attribution of authorship to Johnson Legal are copyright management information (“CMI”) under 17 U.S.C. § 1202(c). Per 17 U.S.C. § 1202(a), no person may knowingly and with the intent to induce, enable, facilitate, or conceal infringement provide copyright management information that is false, or distribute or import for distribution copyright management information that is false. Per 17 U.S.C. § 1202(b), no person may intentionally remove or alter this CMI, or distribute works knowing this CMI has been removed or altered, without the Firm’s authorization or other legal authority.
The Engagement Letter you will sign before payment
This is the substance of the Engagement Letter you will be asked to sign at the end of intake, before any payment is taken. The Firm posts it on this page so you can read it before starting intake. The full executable copy is presented during intake and signed via DocuSign.
Parties
This Engagement Letter is between Johnson Legal d/b/a Bluegrass Cornerstone (“the Firm”) and the Client identified at signing (“Client”). The Firm’s supervising attorney is Elton Johnson, admitted to practice law in Kentucky.
Disclosure of the attorney-supervised intake system
The Firm uses an attorney-authored, attorney-supervised intake system to collect facts and explain statutory terms. The intake system explains; it does not recommend instruments or give legal advice. Elton Johnson personally reviews each generated document before delivery. Per KBA Ethics Opinion E-457 (March 2024), the use of generative AI tools in this matter does not change the attorney’s responsibility for the work product.
Scope of representation
The Firm will draft a Kentucky Medical Order for Scope of Treatment (MOST) form per KRS 311.6225 reflecting the Client’s (or the Client’s legal surrogate’s or responsible party’s) chosen treatment preferences regarding cardiopulmonary resuscitation, medical interventions, and artificially-administered nutrition. The Client understands and agrees that MOST is a medical order signed by the Client’s physician under KRS 311.6225(2) and is not effective until executed by the physician. The Firm’s deliverable is the execution-ready MOST form plus written handoff guidance for taking the form to the Client’s physician for signature. The Firm does not coordinate or guarantee physician execution.
Flat fee, advance fee
The flat fee for this engagement is the price displayed at the time the Client signs this Engagement Letter. This fee is designated as an advance fee under SCR 3.130(1.5)(f). The fee will be applied to the scope of representation described above. The engagement is expected to be completed within ten (10) business days of receipt of all Client-supplied facts and payment. Client provides informed consent to this fee structure by signing this Engagement Letter.
Confidentiality
Information you share with the Firm in this matter is protected by the attorney-client confidentiality duty under SCR 3.130(1.6). The Firm will not reveal information relating to the representation unless you give informed consent, the disclosure is impliedly authorized to carry out the representation, or disclosure is permitted or required by SCR 3.130(1.6)(b).
Attorney review of every document
The same attorney — Elton Johnson — personally reviews every document the Firm generates in this matter before it is delivered to you. This review is the lawful practice of law under SCR 3.130(5.3) and conforms to the supervising-attorney framework affirmed in KBA Ethics Opinion E-457.
No litigation
This engagement is limited to drafting the named document described in the Scope of Representation. It does NOT include representation in any litigation, dispute, or contested matter; in any court proceeding; in administrative proceedings; or in negotiations with third parties. If litigation, a dispute, or a contested matter arises, a separate engagement is required.
Refund and termination
If the Firm withdraws or fails to complete the named document (other than because the Client’s intake responses cannot lawfully be drafted into the requested instrument), the Firm will refund the advance fee in full. If the Client terminates the engagement before the document is delivered, the Firm will refund the advance fee minus a reasonable charge for work already performed, as required by SCR 3.130(1.16)(d).
Statutory authority
The named document is governed by KRS 311.6225 (Kentucky medical order for scope of treatment (MOST) form — Eligible persons — Scope — Effect). The MOST form’s structure and required sections are prescribed at KRS 311.6225(2). The interaction of MOST with a Living Will or Healthcare Power of Attorney is governed by KRS 311.621(12).