Your Advance Medical Directive,
A Voluntary Decision.

Decide for yourself how you want to be treated.


Available Options


Making an Advance Medical Directive (AMD)

By signing an AMD, you’re essentially telling the doctor who is treating you that you would not like any life-sustaining treatment to be used to prolong your life if you become terminally ill and unconscious.

Making an AMD should be entirely voluntary and is up to you if you want to make one — it’s actually a criminal offence if anyone forces or coerces you into doing so.


Not Signing An AMD

If you didn’t sign an AMD, the doctor treating you will try their best to resuscitate you by any means possible.

Things You Should Know About Making An AMD


An AMD is not easily invoked

An AMD will only take effect when your attending doctor believes that you are:

  • Suffering from a terminal illness 
  • Require extraordinary life-sustaining treatment 
  • Unconscious or incapable of exercising rational judgement 

They then have to certify these in writing and check if you have made an AMD.

If you have an AMD, they have to obtain the agreement of 2 other doctors on their diagnosis before they are able to act according to your AMD. Furthermore, at least 2 out of the 3 doctors who have passed judgement have to be specialists!

There has to be a unanimous agreement amongst the doctors that you are terminally ill before your AMD must be executed.


An AMD may not be complied with if you are pregnant

If your doctor believes that you are pregnant and that the fetus would likely survive to the point of being birthed, the doctor is not allowed to withhold extraordinary life-sustaining treatment from you

In this case, the AMD will not take effect.


An LPA does not overwrite your AMD

If you had made your LPA, your donee under the LPA will not be able to make this decision on your behalf.

This is because an AMD should be purely voluntary and no one (not even your legally recognised family) has the right to make this decision on your behalf.

How To Make An AMD

Anyone who is at least 21 years old and is not mentally disordered can make an AMD.


AMD Form

You can get the forms from the following sources:

  • Medical clinics, polyclincs and hospitals
  • Your doctor
  • Download it online here.


Consult A Doctor With A Witness

The AMD must be made through a doctor, and you must have one other person present to sign as your witness when you make your AMD.


Return the form to the Registrar of AMD

The completed form should be sent in a sealed envelope either by mail or by hand to the Registrar of Advance Medical Directives at the Ministry of Health.

What Happens If I Change My Mind?

Your AMD can be revoked at any time in the presence of at least one witness.

This can be done with AMD Form 3, which should be sent to the Registry of AMDs as soon as possible.

Alternatively, you or your witness could write a letter with the details as found in the link here.