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Revoking and Objecting Advance Medical Directive: Key Steps You Should Know

Understanding how to revoke or what to do after objection to an Advance Medical Directive (AMD) is crucial for maintaining control over your healthcare decisions. So, what are the reasons and what should you do? You might want to revoke your AMD if your healthcare preferences change, or if you believe the directive no longer reflects your wishes. Want to ensure your healthcare choices are always respected? Read on for a comprehensive guide on revoking and objecting to an Advance Medical Directive, including the reasons why you might take these actions and the detailed steps to follow for a smooth process.


What to Do If I Want to Revoke My Advance Medical Directive?


doctor assisting patient for advance medical directive

The Ministry of Health (MOH) in Singapore allows you to revoke your Advance Medical Directive (AMD) at any time. This ensures you retain control over your end-of-life care preferences. 


Here's a guide on how to revoke your AMD:


Preferred Method: AMD Form 3


The most efficient option is to use the AMD Form 3, the standard form for revocation. This form is typically provided alongside Form 2, a form that an individual receives in the mail when their AMD application is acknowledged and confirmed by MOH.


Alternative Method: Written Revocation Letter


If you no longer have Form 3, you or your witness can submit a written revocation letter to the Registrar of AMDs. This letter should clearly state your intention to revoke the AMD and include the following details:


  • Your Name and NRIC: Include your full name and National Registration Identity Card (NRIC) number.

  • Witness Information: Provide your witness's full name, NRIC number, address, and contact information (home and office phone numbers).

  • Date, Time, and Location: Indicate the date, time, and place where the revocation took place.

  • Communication Method (if applicable): If the witness writes the letter, they should specify the communication method used by you to express your intent to revoke (e.g., orally, sign language).


Submitting the Revocation


Send the completed AMD Form 3 or your written revocation letter to the Registrar of AMDs as soon as possible. This ensures your updated wishes are documented promptly.


By following these steps, you can effectively revoke your existing AMD in Singapore and maintain control over your end-of-life care preferences.


What Will the Doctor Do If the Other 2 Specialists Object to the AMD?


The Ministry of Health (MOH) in Singapore outlines specific protocols for doctors regarding Advance Medical Directives (AMDs). Here's a breakdown of key points for healthcare professionals:


Second Opinion on Terminal Illness:


  • If two additional doctors disagree with the initial diagnosis of terminal illness, the primary doctor should re-evaluate the patient's condition thoroughly.

  • If the re-evaluation confirms the patient is not terminally ill, the doctor must return any held AMD forms to the Registrar with a written confirmation. This effectively halts all AMD procedures.


As per the MOH guidelines, discuss your AMD with your doctor well in advance. Explain your reasoning and any questions you have. Remember, doctors can object to the MOH Registrar if they believe your AMD conflicts with the AMD Act or raises ethical concerns.  


How to Ensure an AMD to Be Legally Valid?


The Ministry of Health (MOH) in Singapore outlines specific requirements for a legally valid Advance Medical Directive (AMD). These ensure your wishes for end-of-life care are documented clearly and followed according to the law. Here's a breakdown of the key criteria:


  • Age: You must be at least 21 years old to create an AMD.

  • Mental Capacity: You must be of sound mind when making an AMD. This means you understand the nature and implications of the document and can make informed decisions.

  • Voluntary Decision: The AMD must be created freely, without pressure or coercion from anyone.

  • Doctor Consultation and Witness: You must consult with a doctor while a witness is present when making the AMD. The doctor will ensure you understand the AMD and its implications. The witness, who cannot be a beneficiary of your will or insurance policy, will verify that you signed the AMD voluntarily.

  • Understanding and Registration: It's crucial that you fully understand the content and potential consequences of your AMD before signing. That’s why it’s recommended to have contact with a legacy planning expert, like The Life Legacy, to assist you with the overall process. Once completed, the AMD must be registered with the Registrar of Advance Medical Directives. Upon successful registration, you will receive an acknowledgement.


Fulfilling these requirements ensures your AMD is legally binding and respected by healthcare professionals in Singapore. It's important to discuss the AMD creation process with your doctor to ensure you understand your options and make informed decisions.


Fulfilling Your Wishes with The Life Legacy


By understanding the key requirements outlined above, you can ensure your AMD is legally binding and reflects your end-of-life care preferences. Remember, an AMD is a powerful tool, but navigating the legalities can feel overwhelming.


That's where The Life Legacy comes in. We offer a comprehensive solution to guide you through the entire AMD process, from understanding your options to ensuring a smooth registration. Our team of experts can help you:


  • Assist you in filling out the AMD form: We'll work with you to determine if an AMD suits your situation, and if it is needed, we will assist you in filling out the AMD form.

  • Navigate the registration process: We'll assist you in submitting your AMD form to the Registry of Advance Medical Directive, ensuring your AMD is officially recognised.


Don't wait until a critical moment to address your end-of-life care preferences. With The Life Legacy, creating a legally valid AMD is easier than ever.


Contact us today to schedule a consultation and take a confident step towards a secure future. Let's ensure your voice is heard, even when you can't speak for yourself.

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