In Ecuador, the article 15 of the Code of Medical Ethics in Ecuador states: “The Doctor / Practitioner will not make any surgical intervention without previous authorization from the patient if the patient cannot authorize it by itself, so it should be authorized by its representative or family member unless this involves the patient´s life under risk in a short period of time. In all cases, the authorization must include the following information: type of intervention, the risks, and the possible complications.”

To sign a power of attorney you need your cedula or passport. Documents as a driver’s license or other identification documents are not valid to sign a power of attorney.

It is effective immediately after it is executed and delivered to the agent. 

It is effective indefinitely unless it contains a specific termination date, it is revoked, or the grantor or agent dies.

An agent may make health care decisions on your behalf only if you are unable to communicate your own health care decisions in any manner.

No, the medical power of attorney is just for medical issues.

Yes. Although you are not required to designate an alternate agent, you may do so. The alternate agent(s) may make the same health care decisions as the primary agent if the designated agent is unable or unwilling to act.

Agent 1: It must be a person who lives in Ecuador, as he/she will be the immediate person to contact in case of an emergency.

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Agent 2 (OPTIONAL): It can be a person from Ecuador or a relative who is outside the country. The most recommended is to designate a person who lives in Ecuador, but there is no problem if the second agent is somebody who lives abroad.

Yes, in the case that you want to change agent you have to grant a new power of attorney and revoke the last power of attorney.

We recommend that your primary agent for your medical POA reside in Ecuador, so that quick action can be taken in your time of need.

Yes, as stated above, we can accept a copy of a passport for your healthcare agent, however, we suggest that your primary POA agent holds a cedula, because passport numbers change when they are reissued, requiring a re-writing of your healthcare POA.  Additionally, someone who holds a cedula, and is local, can act on your behalf much faster than someone who lives out of the country.

Absolutely, you will receive a copy of the healthcare POA in English, which you should review and understand before signing.

The Principal must sign in accordance with the Ecuadorian Notary Law, in front of a public notary, if the grantor is not fluent in Spanish an interpreter must be nominated to sign along with the principal.

After this has been legally authorized the document becomes valid to be used. The Principal must be thinking freely during the creation of the Medical Power of Attorney.

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It is best if the medical POA is carried at all times, as emergencies cannot be predicted. We also suggest that your agent and your primary care physician have their copies readily available and are aware of the implications and responsibilities attached to this document.