Products tagged with 'advance medical directive'

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Alberta Personal Directive Form

What would happen if you suddenly became unable to look after yourself? Make your wishes known ahead of time with this Personal Directive form for Alberta residents.

  • In a Personal Directive (sometimes called an advance health care directive or a living will), you appoint someone you trust as your agent to make personal care decisions on your behalf if you have been determined to lack capacity to make those decisions for yourself.
  • Using this form you can give your agent detailed instructions and set out your wishes regarding:
    • health care,
    • accommodation,
    • persons you can live and associate with,
    • participation in social activities,
    • educational activities,
    • employment activities,
    • legal matters, and
    • other non-financial personal matters.
  • This Personal Directive is a free fillable PDF form from the Government of Alberta, Form OPG5521 rev. 2016-06.
$0.00

British Columbia Form 1 Certificate of Representative

Download this Certificate of Representative or Alternate Representative if you have made a Section 7 Representation Agreement under the B.C. Representation Agreement Act.

  • The Act requires that each representative and alternate representative you named in your Representation Agreement must complete this form before they can act on your behalf.
  • This is a prescribed form under B.C. laws.
  • Available in MS Word format.
  • Intended to be used only in the Province of British Columbia, Canada.
$0.00

British Columbia Form 2 Certificate of Monitor

Download this Certificate of Monitor if you have named a monitor in a Section 9 Representation Agreement under the B.C. Representation Agreement Act.

  • The Act requires that any person you named as a monitor in your Representation Agreement must complete this form before they can act on your behalf.
  • This is a prescribed form under B.C. laws.
  • Available in MS Word format.
  • Intended to be used only in the Province of British Columbia, Canada.
$0.00

British Columbia Form 4 Certificate of Witnesses

Download this Certificate of Witnesses if you have made a Representation Agreement under the B.C. Representation Agreement Act.

  • Section 13 of the Act requires every person who witnesses your signature of the Representation Agreement to complete this form.
  • This is a prescribed form under B.C. laws.
  • Available in MS Word format.
  • Intended to be used only in the Province of British Columbia, Canada.
$0.00

British Columbia Representation Agreement Package (Section 9)

BC residents, make sure that your wishes are followed in the event that you become incapacitated, with this Representation Agreement Package (Section 9).

  • A Representation Agreement allows you to appoint someone as your representative to make decisions for you if you are not able to do so. These decisions include medical care, living conditions, personal, financial and legal matters.
  • This legal form is referred to as a Section 9 Agreement, which means that you grant your representative the broad and general powers set out under Section 9 of the British Columbia Representation Agreement Act.
  • The package contains:
    • Representation Agreement,
    • Statutory Declaration for Evidence of Authority of Alternate Representative,
    • Notes on Completing a Representation Agreement.
  • Download the British Columbia Representative Agreement Package (Section 9) and appoint your representative today.
  • Available in MS Word format.
$17.99

Ontario Do Not Resuscitate Confirmation Form

Carry a copy of a DNR (Do Not Resuscitate) Confirmation Form with you if you do not wish to have CPR administered by paramedics or firefighters.

  • The form must be signed by a physician, registered nurse, registered nurse in the extended class, or registered practical nurse.
  • In accordance with Ontario laws, the DNR form instructs paramedics and firefighters not to administer CPR (including use of breathing tubes and resuscitation drugs).
  • Palliative care (comfort care) will still be provided, including administration of oxygen, suctioning, and pain medication.
  • When completed, the form will be numbered with a unique serial number.
  • This form contains both English and French language versions.
  • The form is issued by the Ontario Ministry of Health and Long-Term Care and the Office of the Fire Marshal.
  • Available in PDF format.
  • Intended to be used only in the Province of Ontario, Canada.
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