The MOLST does not replace a Health Care Proxy Form (it cannot be used to appoint a decision-maker). The MOLST form must be signed by your healthcare provider, and by you or your health care agent or surrogate. All medical providers must follow these medical orders, even if the patient moves from one location to another (e.g., moves from hospital to nursing home), unless a physician/nurse practitioner/physician assistant examines the patient, reviews the orders, and determines they should be changed.