Australian Capital Territory Numbered Acts Australian Capital Territory Numbered Acts10. My attorney shall only exercise authority under paragraph 9 subject to the following limits:
[ Set out here any limits to be placed on the attorney's powers, for example: “The attorney shall not require me to move away from my home . ”
If you do not wish to specify any limits here, cross out paragraph 10 . ]
Signature of person giving the power
Signature of witness [ not related to the person giving the power, or his or her attorney ]
Signature of witness [ not related to the person giving the power, or his or her attorney ]
IMPORTANT NOTICE:
By signing this Part, you can authorise your attorney to consent to medical treatment on your behalf while you are unable to manage your affairs. You can also authorise your attorney to consent on your behalf to the donation of a part of your body, blood or tissue to another person while you are unable to manage your affairs.
You can only authorise your attorney to give consent to medical treatment that is essential for your well-being.
You need not give your attorney any power to consent to medical treatment, or medical donation, on your behalf. If you do not want your attorney to have either of these powers, you should cross out this Part entirely .