Quebec Personal Mandate in Case of Incapacity

Make sure that your wishes are followed in the event that you become physically or mentally incapacitated, with this Personal Mandate in Case of Incapacity, pursuant to the Civil Code of the Province of Quebec.

With this form, you can appoint one or more persons to act on your behalf as your personal mandatary to give consent and make decisions regarding medical treatment the event that you are unable to do so due to lack of capacity. You can also give end-of-life instructions on which treatments should be administered to you if you have a terminal illness or are in a permanent coma.

This Quebec Personal Mandate in Case of Incapacity is available as a downloadable English-language MS Word form, and is easy to fill in with your personal information. Each adult member of your household can prepare a Personal Mandate using the same form - no need to buy multiple copies.