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Click here if you'd like to learn why a Power of Attorney is important.

Click here to prepare a Power of Attorney for property.
Form for Powers of Attorney for Health Care

For further information, please contact my office directly at 416-861-0087 or e-mail me at howard@dyment.com.

Please note that you must live in Ontario for me to assist you.

Please complete the following information so that I may better assist you with your Powers of Attorney:
Your full name as it appears on your Birth Certificate
The name you are commonly known by
Street Address
Address (cont.)
City
Province
Postal Code
Country
Work Phone
Home Phone
Cell Phone
Home Facsimile
E-Mail

Please provide your spouse's information, if applicable:
Spouse's name full name
The name your spouse is commonly know by

Assuming a common tragedy occurs, and neither you nor your spouse (if applicable) are competent, provide the Birth Certificate name of one (1) person who would act as your Attorney and handle your health decisions. He or she should reside locally.
Name

Please provide further information, if applicable:
Please note that your Power of Attorney is not effective or valid until it is executed by you in my offices.

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