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Is An Advance Medical Directive A Legal Document?

Understanding the legal status of an Advance Medical Directive (AMD) is crucial for effective healthcare planning. So, is an Advance Medical Directive a legal document? Yes, it is. An AMD is a legally binding document that outlines your healthcare preferences in situations where you are unable to communicate your wishes. It ensures that your medical treatment aligns with your values and desires, providing clear guidance to healthcare providers and loved ones.


Want to know more about the legal aspects of an AMD? Read on for the ultimate guide, offering detailed insights into the legal framework, and why it's an essential component of your healthcare planning.


How to Know If an AMD is Legal?


legal advance medical directive

The Ministry of Health (MOH) in Singapore recognises an Advance Medical Directive (AMD) as a legal document. An AMD allows you to express your wishes for medical treatment in the event you become terminally ill, mentally incompetent, and unconscious.


Here's what ensures a legally valid AMD in Singapore:


  • Capacity and Signature: The AMD must be signed by you, the individual making the directive. To do so, you must be at least 21 years old, of sound mind, and capable of making informed decisions about your healthcare.

  • Witnessed Signing: The signing of your AMD requires two witnesses to be physically present. One witness must be a doctor who can verify your mental capacity at the time of signing. The other witness must be at least 21 years old and cannot be someone who benefits financially from your Will, or insurance policies or is an immediate family member.

  • Registration: For the AMD to be legally enforceable, it needs to be registered with the Registrar of Advance Medical Directives at the Ministry of Health. Once you submit the completed form, the Registrar will send you an acknowledgement upon successful registration.


By following these steps, you can ensure your AMD is legally valid and your wishes regarding your medical care are respected in the event you are unable to communicate them directly.


When Is Advance Medical Directive Not Applicable?


There are specific circumstances where an AMD may not be applicable:


1. Non-Terminal Illness: 

An AMD is only intended for terminally ill patients. A panel of three doctors including 2 MOH appointed specialists must unanimously agree on the patient's terminal illness for the AMD to be considered. If there's disagreement within the panel, the AMD will not be implemented.


2. Unregistered Directive:

As mentioned, to be legally enforceable, an AMD must be registered with the Registrar of Advance Medical Directives. An unregistered AMD holds no legal weight and cannot be used to guide medical decisions.


3. Doctor's Objection of Conscience: 

Doctors have the right to object to an AMD based on conscientious beliefs or if they believe it's medically inappropriate. In such cases, the doctor is obligated to register the objection using Form 10 and assist in transferring the patient's care to another healthcare provider who will respect the AMD. After this, the doctor is unable to act on AMD, witness the signing of AMD, and participate in certifying the terminal illness of the patient with AMD in future. 


It's important to understand these limitations to ensure your AMD effectively communicates your wishes for end-of-life care.


Importance of Having a Legacy Planning Consultant for AMD


Navigating the legalities and complexities surrounding AMDs can be intimidating. The Life Legacy is your valuable asset throughout the AMD process. Here's how we can assist you:

  • Understanding AMDs: We explain what an AMD entails and how it functions within the Singaporean healthcare system.

  • Form Completion and Certification: We can guide you in filling out the AMD form and ensure it's properly certified by a doctor.

  • Registration: We can handle the mailing of your form to the Registrar of Advance Medical Directives on your behalf.


By partnering with The Life Legacy, you gain the support and expertise necessary to ensure your AMD is legally sound and effectively reflects your wishes. Contact us today to start planning!

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