Page 3525 - Week 12 - Wednesday, 12 October 1994

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'Authority to consent to withholding or withdrawing medical treatment

15A. My attorney or attorneys may consent on my behalf to -

(a) medical treatment generally being withheld or withdrawn; or

(b) the following medical treatment being withheld or withdrawn:

[Set out here any medical treatment the withholding or withdrawal of which you want your attorney or attorneys to consent to.

If you wish to authorise your attorney or attorneys to consent to the withholding or withdrawal of medical treatment generally on your behalf, cross out (b).

If you wish to authorise your attorney or attorneys to consent to the withholding or withdrawal of specified medical treatment on your behalf, cross out (a).

If you do not wish your attorney or attorneys to consent to the withholding or withdrawal of any medical treatment on your behalf, cross out paragraph 15A.

If you sign a direction or a power of attorney under the Medical Treatment Act 1994 after you have signed this form, paragraph 15A may no longer have effect.]'.".

Page 9, line 4, (Form 1), before clause 1, insert the following:

"IMPORTANT NOTICE:

If you have previously given a power of attorney under the Powers of Attorney Act 1956, that power might be affected by filling out this form. You should note that the power to make decisions relating to the withholding or withdrawal of medical treatment for the condition to which this form relates will now be exercised according to your instructions on this form and not the form you previously filled in under the Powers of Attorney Act 1956.

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