Advance medical directives
Advance medical directives consist in a written statement, made by persons 18 and over who are able to express their will, indicating the medical care they accept or refuse to receive in the event they become incapable of consenting to healthcare in specific situations.
When persons find themselves incapable of consenting to healthcare, health professionals must abide by the choices the persons have previously expressed in their advance medical directives.
You have various options for indicating your choice in the matter.
You may decide to fill out the Régie’s form entitled Advance Medical Directives in Case of Incapacity to Give Consent to Care. This way, the information contained in the form that you return to the Régie will be recorded in the Registre des directives médicales anticipées (advance medical directives register) and become available to health professionals. Alternatively, you may provide your advance medical directives via a notarial act prepared by your notary, who will send us your directives to be recorded in the Registre des directives médicales anticipées The Registre des directives médicales anticipées
The Registre des directives médicales anticipées is a database storing forms duly completed by citizens and notarial deeds drawn up by notaries that have been sent to the RAMQ, which is the organization responsible for managing and operating the Registry. The Registry is accessible to health professionals, enabling them to consult people’s wishes regarding care..
Filing your form or your notarial deed in the Advance Medical Directives Registry is the safest and fastest way of ensuring that your wishes will be accessible and respected in the event of your incapacity to consent to care.
Please note that the Advance Medical Directives form may not be used to request medical aid in dying. For further information on this topic, refer to the “Medical aid in dying” section of the web portal “Portail santé mieux-être.”
How to obtain the Advance Medical Directives form
Before you order your form from the Régie, we strongly suggest that you read the relevant information on advance medical directives available on the web portal “Portail santé mieux-être.”
To obtain your personalized form, follow these steps:
- Order it online or by telephone.
- Fill out, date and sign the form.
- Have two witnesses age 18 or over sign the form.
- Submit your form in one of the following ways:
- mail it to the address below, so that it is deposited in the Registre des directives médicales anticipées:
Régie de l’assurance maladie du Québec
Case postale 16000
Québec (Québec) G1K 9A2
- give it to your physician or to a health professional, and he or she will file it in your medical record
- if you are incapable of consenting to healthcare, give it to a loved one who will, in turn, hand it over to a health professional
If you decide to mail your form to the Régie, make sure to send in all the pages, including the first two information pages. This way, you’ll be certain that your directives are recorded in the register.
If you are physically incapable of completing the form, someone else can fill out, date and sign it in your presence. If you are incapable of reading or writing, you can also proceed in this manner. If you are incapable of reading or writing, you can also proceed in this manner.
Period of validity of your advance medical directives
Advance medical directives have no period of validity. The information in the form always remains valid.
Changes to your advance medical directive
At any time while you remain able to consent to healthcare, you can change your advance medical directives. Just fill out another Advance Medical Directives form or consult a notary, if you prefer. Next, send your completed form to the Régie so that the new information will supersede the information held in the Registre des directives médicales anticipées; otherwise, you can hand over the completed form to a health professional who will file it in place of the previous form.
The latest advance medical directives you have expressed will cancel and replace the former.
To change your advance medical directives, you must fill out a new form. The date you enter on the new form will allow the physician, if there is any doubt, to determine which form is the most recent, i.e. which form is valid. To obtain a new form, order it online or by contact calling the contact the Régie.
Revocation of your advance medical directives
Only you can revoke, i.e. cancel, your advance medical directives. Whether they are recorded in the register or filed in your medical record, the directives that you wish to cancel must be formally revoked by using the form entitled Revocation of Advance Medical Directives. To cancel your directives, follow these steps:
- If your advance medical directives are recorded in the register, you must send the revocation form to the Régie. Your revocation will come into effect once health professionals can access it.
- If you decided against having your advance medical directives recorded in the register but chose instead to have them filed in your medical record, you must send the revocation form to the health professional in possession of your former advance medical directives.
- If you decided to keep your advance medical directives at home, rather than having them recorded in the register, simply destroy the revoked version.
To obtain a Revocation of Advance Medical Directives form, contact the Régie.