Advanced Directives

Help Your Loved Ones Make Medical Decisions on Your Behalf

advanced directive documentation

An advance directive is a written document, made while you are mentally capable, that gives or refuses consent to specific health care treatments in advance. It takes effect only if you later become incapable of making that decision yourself, and any health care provider who is aware of it must follow it directly.

We recommend putting one in place whenever you are updating your will or other estate planning documents, not only when a health concern arises, since capacity can be affected suddenly and without warning. An advance directive gives your representative clear guidance if they ever need to make a health or personal care decision for you. It sets out your instructions in writing, in your own words, so the people caring for you are not left guessing. At Ambassador Law, we help clients across the Fraser Valley put an advance directive in place alongside their broader estate plan, so their wishes carry legal weight when it matters most.

What an Advance Directive Can and Cannot Cover

An advance directive speaks only to future health care. It cannot be used to manage your finances or your personal care arrangements, such as where you live or who provides your daily care. For those matters, you need a representation agreement or an enduring power of attorney, which our team can prepare alongside your advance directive.

There are also specific instructions the law does not allow you to give in an advance directive, including:

  • Consent to medical assistance in dying, which always requires your informed consent at the time it is requested
  • Consent to an abortion, electroconvulsive therapy, or psychosurgery, each of which needs a separate recommendation from your treating physician
  • Any instruction that refuses care required by law, such as treatment under the Mental Health Act

When we draft your advance directive, we walk through these boundaries with you so the document holds up when a health care provider relies on it.

Legal Requirements for a Valid Advance Directive in BC

For an advance directive to hold up under BC’s Health Care (Consent) and Care Facility (Admission) Act, it needs to meet a few conditions:

  • You must be capable of understanding the nature and effect of the document when you sign it
  • It must be in writing, dated, and signed by you
  • Your witness cannot be someone who is paid to provide you with personal care, health care, or financial services, other than the lawyer or notary exception above

Our office confirms each of these requirements is met before your advance directive is finalized, so it is ready to rely on when it is needed.

signing documents

How We Prepare Your Advance Directive

Our process is straightforward, and we keep you informed at every stage:

  1. Contact our office to set up an appointment, in person or by phone, to discuss your instructions
  2. Meet with our team to go through your wishes for medical and personal care, and review the attached information sheet, so you know the details the document requires
  3. We prepare your advance directive based on the instructions you have given us
  4. We schedule a follow-up appointment for you to sign the advance directive in front of a notary, meeting the witnessing requirements described above

Please contact our office to set up an appointment for providing instructions for your advance directive. We are glad to prepare your representation agreement or will at the same time, so your planning documents work together rather than in isolation.

Frequently Asked Questions

Is an advance directive legally binding in BC?

Yes. Once it meets the signing and witnessing requirements, any health care provider aware of your advance directive must follow it. That is different from a representation agreement, where your representative has some discretion in situations you did not specifically address.

A temporary substitute decision maker, drawn from a list set out in BC law, would be asked to decide on your behalf, followed by the Public Guardian and Trustee if no one on that list is available. Without your own instructions on file, that decision maker has to rely on what they believe is best for you rather than what you actually want.

We recommend having both. An advance directive gives direct instructions to your health care providers, while a representation agreement appoints someone to advocate for you and fill in the gaps your instructions do not cover.

A will only takes effect after death and deals with your estate, not your care while you are alive. An advance directive is the opposite: it applies while you are living but incapable, and it says nothing about your assets. A representation agreement is closer in purpose but works differently. Instead of instructions a health care provider follows on their own, a representation agreement names a person, your representative, who can speak with your care team and make decisions using whatever guidance you have left them.

Because an advance directive alone does not appoint anyone to advocate for you, we generally recommend our clients have both documents in place together, so there is a named person to interpret and apply your wishes if a situation your directive did not anticipate comes up.

Yes, as long as you are still capable of understanding what the change means. We can help you update or revoke your advance directive at any point your circumstances or wishes change.

You need two adult witnesses, or one witness if that person is a lawyer or a notary public in good standing. Anyone who is paid to provide you with personal care, health care, or financial services cannot act as a witness, aside from that lawyer or notary exception.

A power of attorney deals with your financial affairs, while an advance directive deals only with health care instructions. Most of our clients have both, along with a representation agreement for personal care, so every part of their planning is covered.

Not necessarily. It is written for the health care matters you can reasonably anticipate, and a provider may still need to exercise judgment in a situation it does not address. Pairing it with a representation agreement gives your representative the authority to step in when that happens.

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