Will Prep Forms - Living Will

Living Will Prep Forms

To request the preparation of your client's Will by our Team, we'll need you to complete some preparatory forms. These forms will assist the Will Prep Team in gathering the necessary information. To navigate to the prep forms click here


You can download it as a PDF and fill out the Clients information.


A Power of Attorney for Personal Care grants an individual the power to make personal care decisions (medical, living arrangements, etc.) if you are incapacitated and unable to make these decisions for yourself. Please consider how you would like issues of your personal care decided.

Here at Optimize, we have a Living Will for each Province. Each Province's Living Will have slight differences like additional clauses or different titles for the Attorneys you delegate. Province specific clauses are denoted throughout this article and we will refer to the chosen delegates as Attorneys and the Living Will as the Power of Attorney for Personal Care, though they may be titled differently in your Province.

Lets go through the Ontario Living Will:

Step 1.

Enter your personal information 

 

Step 2. 

Add the information for your Attorneys and Alternate Attorneys. An Attorney is someone who makes decisions for you when you no longer have capacity to give consent on your own. Select up to five Attorneys, who you will decide to work, jointly or successively, in the order which they were named.

 

 

If you selected for your Attorneys to work jointly, you must decide if you would like them to make decisions via a Majority vote, in which the decision must be agreed upon by the majority of your Attorneys or by Unanimous vote, in which ALL Attorneys need to agree on the same decision.

 

 

Step 3.

Here you will decide how much authority your Attorneys will have to make personal decisions on your behalf. Select 1 of the following.



1. Full authority subject to my instructions - This option gives your Attorney(s) authority to make personal decisions on your behalf but, does not grant them the authority to override or disregard your instructions given in this Living Will.

2. Full authority even if overriding my instructions -  This option gives your Attorney(s) authority to make personal decisions on your behalf EVEN IF overriding or disregarding your instructions given in this Living Will.

3. Specific authority - Allows you to describe the specific areas of authority that you wish to give to each of your Attorneys in the space below.

e.g. Healthcare, accommodation, participation of social activities, the people with whom I may live, where I may work, educational activities, authority over legal matters.

Step 4.

The Statement of Values and Beliefs (OPTIONAL)

A Statement of Values and Beliefs are 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.

e.g. My fundamental belief is that a person should be allowed to die with grace and dignity and that a life should not be prolonged with aggressive medical treatment where the resulting quality of life is poor and where there is no reasonable expectation of recovery.

 

Step 5. 

Next is 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 instructions in the space provided

 

Step 6. 

Comfort and dignity allows you to maintain control over your end-of-life care decisions, ensuring that your wishes for comfort and dignity are respected. This includes specifying preferences for pain management, spiritual care, and any other aspects that are important to you in your final days. By outlining these details in your Living Will, you can have peace of mind knowing that your values and beliefs will be honored during a difficult time.

 

Step 7. 

Other treatments. The following pages cover treatments and end-of-life decisions in the event that a client becomes terminally ill, is persistently unconscious with no hope of recovery, or if they are severely and permanently mentally impaired.

In each instance, a client can specify the types of treatments they are willing to receive, such as being kept on Life Support, whether they’re willing to receive Tube Feeding, and whether they’re willing to be given CPR.

e.g. My religious beliefs strictly prohibit any medical treatment that involves the transfusion of whole blood or the transfusion of constituent blood products including red cells, white cells, platelets or plasma even in the case of a medical emergency.

 

Step 8. - Only Applicable for Alberta
In this section, you may provide specific instructions to your Attorney or your service providers. (Optional)

 


Step 9. - Only Applicable for Alberta
Here you may designate individuals who will determine your incapacity. (Optional)

 


Step 10. - Only Applicable for Alberta
Here you may provide instructions with respect to access to your confidential information. (Optional)

 

Step 11. - Only Applicable for Alberta
Here you may designate an Agent for temporary care and education of your minor children. (Optional)

 

 

Step 12.
Here you can select information about organ donation. (Optional) 


 

Step 13. 
Here you will select how this Power of Attorney for Personal Care may be revoked.



Step 14. - Only Applicable in Manitoba, New Brunswick, Nova Scotia, Ontario, and Saskatchewan
Here you may decide if you want your Attorney to sign and acknowledge your Power of Attorney for Personal Care. (Optional)



Step 15- Only Applicable in Manitoba, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Ontario, PEI, Saskatchewan and Yukon
Here you may designate people who need to be notified in case you become incapacitated. (Optional)

 

Step 16.

Finally, you may wish to include additional instructions here. Additional instructions are not needed for most people. (Optional)

 

 

Yukon: Special Requirements

The following therapies and procedures require a legal consultation:

- Consent to physically restrain, move, or manage the Maker, or have the Maker physically restrained, moved, or managed, when necessary and despite the objections of the Maker;

- Consent to specified kinds of health care, even though the Maker is refusing to give consent at the time the health care is provided;

- Consent to waive the Maker's right to apply to the board for a decision respecting the Maker's incapability to give or refuse consent under this Act;

- Abortion (unless recommended by your physician and at least one other medical practitioner);

- Electroconvulsive therapy (unless recommended by your physician and one other medical practitioner);

- Consent to the removal of tissue from the Maker for implantation in another human body or medical research;

- Consent to experimental health care for the Maker involving a foreseeable risk that is not outweighed by the expected therapeutic benefit;

- Consent to participation by the Maker in a health care or medical research program that has not been approved by a recognized ethics committee; or

- Consent to any treatment, procedure or therapy that involves using punishment to cause a change in behaviour.

British Columbia
Living Will Prep Forms 

 

Step 1. 

Enter your personal information 

 

Step 2. 

Add the information for your Representatives and Alternate Representatives. A Representatives is someone who makes decisions for you when you no longer have capacity to give consent on your own. Select up to five Representatives, who you will decide to work, jointly or successively, in the order which they were named.

 

Step 3.

Here you will decide how much authority your Attorneys will have to make personal decisions on your behalf. Select 1 of the following.


1. Full authority subject to my instructions - This option gives your Attorney(s) authority to make personal decisions on your behalf but, does not grant them the authority to override or disregard your instructions given in this Living Will.

2. Full authority even if overriding my instructions -  This option gives your Attorney(s) authority to make personal decisions on your behalf EVEN IF overriding or disregarding your instructions given in this Living Will.

3. Specific authority - Allows you to describe the specific areas of authority that you wish to give to each of your Attorneys in the space below.

 

Step 4.
Next is Healthcare Instructions. Below, you can describe what kinds of treatment you would or would not consent to. 

e.g. I consent to life-sustaining treatment and artificial hydration and nutrition to prolong my life even if it will cause me pain and discomfort. 

or

I am bound by my religious beliefs to refuse the following treatments or types of treatments: blood transfusion, organ transplant, other.


Step 5.
Here you can select information about organ donation. (Optional)

Step 6. 
Here you will select how this Power of Attorney for Personal Care may be revoked.

1. On a certain date - Enter a specific date when this Power of Attorney for Personal Care may be revoked
2. When an event occurs - Enter the event or condition under which this Power of Attorney for Personal Care may be revoked
3. As provided by law - The authority granted in this Power of Attorney for Personal Care may be revoked as and where permitted by law

 

Step 7.
Here you may designate people who need to be notified in case you become incapacitated. (Optional)

 

Step 16.

Finally, you may wish to include additional instructions here. Additional instructions are not needed for most people. (Optional)