Representation Agreements and Advanced Health Directives

Jan 31, 2024 | Services

A Representation Agreement allows you to designate someone (the Representative) to make certain decisions about your health care and personal care if you are unable to make those decisions yourself.

An adult in British Columbia is always assumed to have ability to make their own care decisions and no medical practitioner in British Columbia may perform any procedure or care routine without your consent (emergency situations can imply consent).

So, what happens if you are not able to give consent, either because you are unconscious or not mentally capable?

  1. The medical system in British Columbia has a protocol for “Temporary Substitute Decision Makers”, usually family members, to accept or decline care on your behalf.
  2. You can take responsibility for your own decisions through an Advanced Directive, which states in writing which care you will accept, and which care you will not accept.
  3. You can appoint a person or persons to make health and other care decisions on your behalf, through a Representation Agreement. We can draft an agreement that gives authority for your Representative or Representatives to make medical and care decisions, including, if you wish, the right to deny life sustaining care.
  4. A more limited Representation Agreement can sometimes be used where the person giving the appointment has limited capacity, such as due to the onset of dementia. We can help with those difficult times.
  5. If circumstances require, Dale will make home or hospital visits by appointment and for a fee.