Proxy Consent Form Template for Hong Kong

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Key Requirements PROMPT example:

Proxy Consent Form

"I need a Proxy Consent Form under Hong Kong law for my upcoming medical treatment in March 2025, appointing my sister as primary proxy and my eldest son as alternate proxy, with specific powers regarding experimental treatments and life-support decisions."

Document background
The Proxy Consent Form is a critical legal instrument used in Hong Kong when an individual needs to delegate decision-making authority to a trusted representative, particularly for healthcare and personal welfare matters. This document type is essential when someone anticipates potential future incapacity or wants to ensure their interests are protected during periods when they cannot make decisions themselves. The form must comply with Hong Kong's legal framework, particularly the Mental Health Ordinance and Enduring Powers of Attorney Ordinance, and typically requires proper witnessing and potentially medical certification. The Proxy Consent Form includes detailed specifications of the proxy's powers, limitations, and responsibilities, and can be crucial in both routine and emergency medical situations. It serves as a vital tool in healthcare planning and personal affairs management, providing clear authority and guidelines for proxy decision-making.
Suggested Sections

1. Parties: Identifies the Principal (person giving consent), the Proxy (person receiving authority), and any alternate proxies

2. Background: Brief context explaining the purpose of the proxy consent arrangement and relationship between parties

3. Definitions: Key terms used throughout the document, including medical, legal, and technical terminology

4. Appointment of Proxy: Formal designation of the proxy and the general scope of their authority

5. Powers Granted: Detailed description of specific decisions and actions the proxy is authorized to make

6. Duration and Effect: Period for which the proxy consent is valid and conditions under which it becomes effective

7. Principal's Declaration: Statement confirming the principal's current mental capacity and voluntary execution

8. Execution Requirements: Signature requirements, witnessing provisions, and any certification needs

Optional Sections

1. Alternate Proxy Provisions: Used when naming backup proxies in case the primary proxy is unavailable or unable to act

2. Specific Medical Conditions: Include when the proxy consent relates to specific medical conditions or treatments

3. Religious or Cultural Preferences: Added when specific religious or cultural considerations should guide proxy decisions

4. Revocation Procedures: Include when specific revocation procedures need to be outlined beyond standard legal provisions

5. Emergency Contact Information: Optional section for listing additional emergency contacts beyond the proxy

Suggested Schedules

1. Schedule 1 - Medical Information: Details of relevant medical conditions, medications, or treatment preferences

2. Schedule 2 - Identification Documents: Copies or details of identity documents for all parties

3. Schedule 3 - Witness Attestation Form: Detailed witness information and attestation requirements

4. Appendix A - Healthcare Provider Information: List of relevant healthcare providers and their contact information

5. Appendix B - Certification of Capacity: Medical practitioner's certification of the principal's mental capacity (if required)

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions
Relevant Industries

Healthcare

Legal Services

Insurance

Elder Care

Medical Services

Social Services

Mental Health Services

Disability Services

Aged Care Facilities

Hospital Administration

Relevant Teams

Legal

Compliance

Medical Administration

Patient Services

Risk Management

Clinical Operations

Document Management

Healthcare Operations

Social Services

Quality Assurance

Relevant Roles

Healthcare Administrator

Legal Counsel

Medical Director

Compliance Officer

Risk Manager

Patient Relations Manager

Social Worker

Medical Practitioner

Elder Care Coordinator

Legal Administrator

Healthcare Facility Manager

Clinical Services Director

Patient Advocate

Medical Records Manager

Legal Services Coordinator

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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