Imagine you’re in the hospital, temporarily unable to communicate, and a well-meaning friend or family member steps in to speak on your behalf. Are they familiar with your values, wishes, and preferences when it comes to health care? Have you had those important conversations? If the answer is “not yet,” it might be time to consider making a
Representation Agreement.
What Is a Representation Agreement?
A Representation Agreement (RA) is a legal document under BC law that lets you name one or more people — called “representatives” — to make decisions about your health care and personal life if you become incapable of doing so. Think of it as your pre-approved human spokesperson, someone who can say “no thanks” to your doctors on your behalf.

There are two main kinds of RAs:
- Standard (Section 7) – suitable if your needs are relatively simple. It can cover minor and major health care, personal care, and even routine financial matters.
- Enhanced (Section 9) – allows broader health care authority, including decisions about life support and refusing life-sustaining treatment. (Yes, this is the “pull the plug or not” conversation.)
It’s a flexible and proactive way to plan for the unexpected, whether it’s a serious illness, a temporary medical situation, or simply the effects of aging.
What to Discuss with Your Lawyer
Making a Representation Agreement isn’t like ordering takeout. It requires a bit of thought and some honest-to-goodness adult conversations. When you meet your lawyer (with a readiness to get real and potentially with tissues), be prepared to discuss and answer tough questions:
1. Who Do You Trust to Act for You?
Choose someone who knows you well, understands your values, and can remain calm and clear-headed under pressure. They don’t need medical training, just good judgment and a willingness to carry out your wishes — even in emotionally difficult situations.
2. What Are Your Health Care Values?
Do you prefer a more holistic approach to health, or do you value all available medical interventions? Do you want to prioritize comfort over longevity if faced with a serious condition? Your lawyer can help you express these values clearly and respectfully in your agreement.
3. What Are Your Wishes Around Life-Sustaining Treatment?
You may have preferences around treatments such as feeding tubes, ventilators, or resuscitation in the event of a serious illness or injury. These decisions are deeply personal. There are no right or wrong answers, but it helps your representative (and your health care providers) to know your views ahead of time.
This isn’t about being morbid, it’s about being prepared. Would you want to be kept alive by machines indefinitely? Or do you want comfort care and a playlist of 80s ballads as your final soundtrack?
4. Who Else Should Be Consulted?
Some people want their representative to check in with others (siblings, spiritual advisors, baristas — okay maybe not baristas). Tell your lawyer who matters to you.
5. Do You Have a Backup in Mind?
It’s wise to name an alternate representative, just in case your primary choice is unavailable or unable to act when the time comes. Life happens. Your first pick might move to Bali. Always name an alternate or two.
Final Thoughts
Creating a Representation Agreement is about honouring your autonomy and easing the burden on your loved ones. It gives clarity in moments when clarity is most needed and ensures your voice is heard, even if you can’t speak for yourself.
Taking the time to make one now is a thoughtful and empowering step. Your lawyer is there to walk you through it with care, clarity and support.
Making a Representation Agreement is a gift to your future self and your loved ones. It spares them the agonizing guesswork and ensures your voice is still heard, even if it’s coming through someone else’s mouth. So be brave, be thoughtful, and for heaven’s sake, be specific. Your lawyer will thank you.
