Wills, estates & power of attorney
Power of Attorney for Personal Care (Ontario)
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POWER OF ATTORNEY FOR PERSONAL CARE
(Substitute Decisions Act, 1992, Ontario)
This power of attorney for personal care is given by me, ______, of ______.
Earlier powers of attorney for personal care
I revoke every power of attorney for personal care that I have made before this one.
My attorney
I appoint the following person or persons as my attorney for personal care:
• ______, of ______ (my ______)
Authority
I give my attorney authority to make any decision about my personal care that I am incapable of making for myself, including decisions about my health care, nutrition, shelter, clothing, hygiene and safety. This includes giving or refusing consent to treatment to which the Health Care Consent Act, 1996 applies.
When this power of attorney takes effect
My attorney may make a decision for me only when I am incapable of making that decision myself. For a treatment decision, that is when the Health Care Consent Act, 1996 allows my attorney to decide. For any other personal care decision, my attorney must have reasonable grounds to believe that I am incapable of making it.
Signature
Signed at ______________________, Ontario, on ______________________.
______________________________ |
Who may witness. Each witness must be 18 or older and must not be: any attorney or substitute attorney named above, or the spouse or partner of one; my spouse or partner; my child, or a person I have shown a settled intention to treat as my child; or a person whose property is under guardianship or who has a guardian of the person.
Signed by the grantor in our presence. We have each signed below as witnesses, in the grantor's presence.
______________________________ | ______________________________ |