Stephen R. Biss, B.A., LL.B.

QUESTIONNAIRE OF INFORMATION NEEDED BY YOUR LAWYER TO DRAFT POWER OF ATTORNEY FOR PERSONAL CARE (MEDICAL DECISIONS)

  1. NAME OF PERSON(S) YOU WOULD LIKE TO APPOINT AS YOUR PERSONAL CARE ATTORNEY(S) OR AGENT(S): (ATTORNEY DOES NOT MEAN A LAWYER IN THIS CASE.) ________________________________________________________________________________________________________________________________________________________________________________
  2. IF YOU HAVE CHOSEN 2 PEOPLE TO BE YOUR ATTORNEYS SHOULD THEY ACT JOINTLY OR JOINTLY AND SEVERALLY?: ________________________________________________________________________________________________________________________________________________________________________________
  3. NAME(S) OF PERSON(S) YOU WOULD LIKE TO ACT AS SUBSTITUTE ATTORNEY(S): ________________________________________________________________________________________________________________________________________________________________________________
  4. IF YOU HAVE CHOSEN 2 PEOPLE TO BE YOUR SUBSTITUTE ATTORNEYS SHOULD THEY ACT JOINTLY OR JOINTLY AND SEVERALLY? ________________________________________________________________________________________________________________________________________________________________________________
  5. ARE THERE ANY RESTRICTIONS OR EXCEPTIONS? ________________________________________________________________________________________________________________________________________________________________________________
  6. DO YOU HAVE A PREFERRED DOCTOR TO PERFORM ANY ASSESSMENT OF YOUR CAPACITY TO UNDERSTAND AND MAKE MEDICAL DECISIONS? (NAME AND ADDRESS): ________________________________________________________________________________________________________________________________________________________________________________

 


 

|Stephen R. Biss, Barrister & Solicitor|Impaired Driving |DUI DWI Courthouses |Instruments|YOA YCJA Debate|Bills| CLA|Privacy

 

 

Stephen R. Biss, Barrister & Solicitor

470 Hensall Circle, Suite 303
Mississauga, Ontario
L5A 3V4

905-273-3322  or 1-877-273-3322

 


Advertisement. Any legal opinions expressed at this site relate to the Province of Ontario, Canada only. If you reside or carry on business in any other jurisdiction please consult a lawyer, solicitor, or attorney in your own jurisdiction. WARNING: All information contained herein is provided for the purpose of providing basic information only and should not be construed as formal legal advice. The author disclaims any and all liability resulting from reliance upon such information. You are strongly encouraged to seek and retain professional legal advice before relying upon any of the information contained herein.