Quebec Personal Mandate in Case of Incapacity

Make sure that your wishes are followed in case you become physically or mentally incapacitated, with this Personal Mandate in Case of Incapacity, under the Québec Civil Code.

• Use this form to 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 become unable to do so.
• 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 is a reusable legal form. Each adult member of your household can prepare a Personal Mandate using the same form - no need to buy multiple copies.

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.