Free Personal Directive

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Health Care Directive - Details

What is a Health Care Directive?

A Personal Directive or Living Will allows you to designate someone who will make health care and personal care decisions for you when you are not able and also to provide instructions for future care while you are still capable of making decisions for yourself.

A Personal Directive provides an opportunity for you to discuss treatment options with your medical staff as well as to discuss and resolve difficult issues with your family and friends.

Your directive must be made while you are still capable of giving consent.

(Also called a Living Will, Advance Directive, Health Care Directive, or Power of Attorney for Personal Care)

Governing Law

Your Information (the Maker)


Every person who is 16 years of age or more is presumed to have the capacity to make health care decisions (in the absence of evidence to the contrary) and may make a health care directive.

Remember: The Health Care Directive must be made while the Maker still has the capacity to give consent.
(e.g. James Tiberius Smith)
(e.g. 47 Grosvenor Avenue)
(e.g. Saskatoon)
(e.g. V1V 1V1)
(e.g. (999) 999-9999)

Designate Proxy and Alternates


In Manitoba you do not have to designate a Proxy. In some cases you may not have friends or family that are willing and able to act as Proxy. However, if possible you should try to designate someone to act as your Proxy and discuss your wishes with that person so that they can be prepared to make decisions concerning your personal care especially concerning issues that you had not specifically anticipated in your Health Care Directive.

Statement of Values and Beliefs


An Advance Statement is a description of your views and beliefs that you wish to be taken into account if health care decisions are being made for you. While such a statement is not binding on medical professionals, it could provide them with the kind of information they need to make decisions for you when you are no longer able to do so for yourself. This feature is optional.

Treatment Directions and End-of-Life Decisions

Below, you can select what kinds of treatment you would or would not want to receive if you should be diagnosed with a terminal condition. If you would prefer to specify something different about a particular kind of treatment, select "other" and type your instruction in the space provided.

Terminal Condition

If my condition is determined to be terminal and with no hope of recovery, I would like the following done:

Persistent Unconsciousness

If I am persistently unconscious with no hope of recovery, I would like the following done:

Severe and Permanent Mental Impairment

If I am severely and permanently mentally impaired, I would like the following done:

Comfort and Dignity

"If I am suffering from one of the above-mentioned conditions and if my behaviour becomes violent or is otherwise degrading, I want my symptoms to be controlled with appropriate drugs, even if that would worsen my physical condition or shorten my life."

"If I am suffering from one of the above mentioned conditions and I appear to be in pain, I want my symptoms to be controlled with appropriate drugs, even if that would worsen my physical condition or shorten my life."

Other Treatments

Organ Donation


Revocation


Open the calendar popup.

Agent Acknowledgment

Notification of Incapacity

Other than yourself and your Proxy, who else do you wish to be notified if you are declared incapable of making decisions for yourself.

Additional Instructions


You may want to provide instructions about other issues that concern you. Some examples are:
- Who you want to be with you during your final moments.
- Who you would prefer not to be present during your illness.
- Who will care for your pets during your illness.

Signing Details



I am physically unable to sign

Where you are physically incapable of signing this Health Care Directive, another person may sign for you.

Who can be a witness?

A witness to the signing of a Health Care Directive cannot be a proxy appointed in the directive or a proxy's spouse.