Why It’s Important to Have a Medical Representation Agreement in British Columbia

Life is unpredictable. Illness, injury, or sudden incapacity can happen at any age, and when it does, important medical decisions may need to be made quickly. In British Columbia, a Medical Representation Agreement is a key legal tool that ensures your health care wishes are known and respected when you are unable to speak for yourself.

What Is a Medical Representation Agreement?

A Medical Representation Agreement (often simply called a Representation Agreement) is a legal document under BC law that allows you to appoint one or more people—called representatives—to make health care and personal care decisions on your behalf if you become incapable of doing so.

Depending on the type of agreement, your representative may be authorized to:

  • Consent to or refuse medical treatments

  • Make decisions about long-term care or assisted living

  • Access your medical information

  • Ensure your personal values and beliefs guide care decisions

 
Ensuring Your Wishes Are Respected

 One of the most important reasons to have a Medical Representation Agreement is control. Without one, health care providers may have to rely on default decision-makers under BC’s health care consent laws. These individuals may not fully understand your values, preferences, or beliefs.

By creating an agreement, you can:

  • Clearly express your wishes regarding treatment, life support, and comfort care

  • Choose someone you trust to advocate for you

  • Reduce the risk of decisions being made that go against your values

 
Reducing Stress and Conflict for Loved Ones

 Medical crises are emotionally charged situations. Without clear legal authority, family members may disagree about what should be done, leading to stress, conflict, or delays in care.

A Medical Representation Agreement:

  • Provides clear decision-making authority

  • Minimizes family disputes

  • Gives your loved ones confidence that they are honoring your wishes

This clarity can be a tremendous relief during already difficult times.

 
It’s Not Just for Seniors

 A common misconception is that only older adults need a Medical Representation Agreement. In reality, any adult can benefit from having a Representation Agreement. Accidents, sudden illness, or unexpected medical events can affect anyone, regardless of age or health.

Creating an agreement early ensures you are prepared—no matter what the future brings.