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Power of Attorney

See Chart of Different Powers of Attorney...

You have a legal right to decide what happens to your body. This right includes accepting or refusing medical treatments (if a person violates this right, they can be charged with assault). However, you can only make such decisions while you are legally "capable" (or "competent" in the old law). Normally, you are assumed to be capable, but if you are ever found "incapable" to make a decision, someone else can apply or be asked to make decisions for you.

You can appeal a finding of "incapacity".

If you become unable to decide for yourself, or if you are found "incapable" to make a decision, you can let others know what you want beforehand. For example, you can verbally give people instructions, which are legally called "previous wishes". By writing a "statement of previous wishes", there's a better chance your instructions will be followed. However, the best legal proof of your previous wishes is a Power of Attorney.

See Chart of Different Powers of Attorney... A Power of Attorney is a legal document in which you give someone (such as a relative or friend) the power to make your treatment or finance decisions for you if you're found "incapable".

You can choose someone to be your "attorney" (different than your lawyer) and they will explain your "previous wishes" to your doctor and others. Whoever you name has to agree to be your attorney. You cannot choose someone who's paid to give you health care, or someone who's "incapable", or someone under the age of 16. You can name more than one attorney to make decisions together ("jointly"), unless you want them decide together OR separately ("jointly and severally"). If an attorney dies or becomes incapable, you can name one or more "substitute attorneys" as well.

If you do not choose an "attorney", others can be asked to make decisions for you (see: "Substitute Decision Makers"), or someone can apply to become your "representative". Someone can also apply to the court to become your "Guardian of the Person" or "Guardian of Property".

If your doctor or someone else finds you incapable to make decisions about your treatment, money or other issues, your Power of Attorney will tell people what you want done or don't want done. Your chosen attorney must follow these instructions and represent your wishes as best as possible. If you don't give instructions for some unexpected situation, your attorney has to decide for you based on what they think is in your "best interest" and on what they know about you. Someone, even your attorney, can go against your wishes or interpret them differently if they are not specific enough. It's best to think of any possible problems and talk to a lawyer.

An Example: You don't want to be treated with most anti-depressants because they make you ill. Your substitute decision maker is told a new anti-depressant is available and it has fewer side effects. Because you didn't know about this drug, and did not list it when you signed your Power of Attorney, your substitute decision maker may decide you should be given the new drug.

To sign a Power of Attorney, you must be legally "capable", and two independent witnesses must sign with you. The best proof of your "capacity" is a statement from someone who can assess capacity (such as your doctor). People who cannot witness your Power of Attorney include: your attorney, their spouse or partner, your spouse or partner, your child, or people under 18 years of age. You can change or cancel your Power of Attorney only while you are capable (two witnesses must also sign). Filling out a Power of Attorney is an important legal task, so ask a lawyer or a community legal worker for help. They can assist you in making your wishes as clear as possible.

See Chart of Different Powers of Attorney...

Advanced Directives in the USA

The rules regarding Powers of Attorney can be found in the Ontario Health Care Consent Act (HCCA) and Substitute Decisions Act (SDA). The chart below gives general information on the different kinds of Power of Attorney.

4 page review of the Mental Health Act

See our links.


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