Forms
A complete set of forms related to the Care Consent Act is provided below:
- Abbreviated Advance Directive - bilingual (PDF, 62 KB)
- “Planning for your Future Healthcare Choices – Advance Directives Notes and Form for Completing an Advance Directive” (PDF form, 370 KB)
- Form 1(CCA) – Certificate of Legal Consultation (PDF, 23 KB)
- Form 2(CCA) – Certificate of Need for Financial Protection (PDF, 46 KB)
- Form 3(CCA) – Cancellation of Certificate of Need for Financial Protection (PDF, 38 KB)
- Form 4(CCA) – Statement by a Close Friend before they are Chosen as a Substitute Decision-Maker (PDF, 33 KB)
- Form 5(CCA) – Last Resort Substitute Consent by Care Providers (PDF, 71 KB)
- Form 6(CCA) – Application to the Capability and Consent Board for matters under the Care Consent Act (PDF, 59 KB)
- Resuscitation and Care form (PDF, 35 KB)