Rose of Calder — Wellness Power of Attorney Document | Print & Sign | Quantum Health Boss

ROSE OF CALDER

Power of Attorney for Personal Care

Pursuant to the Substitute Decisions Act, 1992, S.O. 1992, c. 30 — Province of Ontario, Canada

Gregory Hall

Quantum Health Boss

2085 Copper Mine St, Oshawa ON L1L 0T2

1-866-774-BOSS (2677)

quantumhealthboss.com

🌹  In Memory of Rose — So That No Family Ever Waits Too Long Again  🌹

Service Fee

$199 CAD
+ Ontario POA Legal Fees
Included unless breach of contract

What Is Included

  • Wellness POA document preparation
  • Wellness emergency card — print & digital
  • Annual AO Scan protocol on file
  • Practitioner emergency contact activation
  • 30-min family wellness planning call

Delivery

  • Signed PDF — digital delivery
  • Physical copy available on request
  • Copy retained on file by practitioner
  • 3–5 business days turnaround
  • In-person or virtual signing accepted
1. PREAMBLE

This Power of Attorney for Personal Care (this “Agreement”) is made pursuant to Part III of the Substitute Decisions Act, 1992, S.O. 1992, c. 30, as amended (the “Act”), and is intended to be legally binding and enforceable. The Grantor executes this Agreement to: (a) protect his or her life, dignity, and access to health resources; (b) ensure that all reasonable wellness and medical options are exhausted before any palliative or end-of-life pathway is initiated; and (c) designate a trusted wellness practitioner as Attorney for Personal Care with authority to act in accordance with the Grantor’s clearly expressed wishes.

2. APPOINTMENT OF ATTORNEY FOR PERSONAL CARE — s. 46, SDA 1992

I, the Grantor named and signing below, hereby appoint Gregory Hall, Wellness Practitioner, carrying on business as Quantum Health Boss, of 2085 Copper Mine Street, Oshawa, Ontario, L1L 0T2, as my sole Attorney for Personal Care pursuant to s. 46 of the Act, with authority to make decisions on my behalf regarding my health care, medical treatment, nutrition, shelter, clothing, hygiene, and safety, upon my incapacity to make or communicate those decisions. This appointment confers priority over family members pursuant to the hierarchy established under the Health Care Consent Act, 1996, S.O. 1996, c. 2, Sch. A, s. 20.

Client Full Legal Name *
Date of Birth (DD/MM/YYYY)
Health Card No. (Optional)
Phone Number
Full Home Address — Street, City, Province, Postal Code
Email Address
Emergency Contact — Name & Phone
3. COMMITMENT TO WELLNESS PROTOCOLS

The Grantor, and any person acting on the Grantor’s behalf, agrees to follow in good faith the wellness recommendations, supplement protocols, frequency-based treatments, and care directives of Gregory Hall. This commitment applies during any period of incapacity and extends to the Grantor’s family members, next of kin, and all substitute decision-makers who may influence access to the Grantor’s care.

4. TREATMENT DIRECTIVE — PALLIATIVE CARE RESTRICTION

Pursuant to s. 50 of the Act (Special Provisions), the Grantor expressly directs: Palliative care shall not be initiated until Gregory Hall has determined, in writing, that all reasonable and available treatment options — including quantum wellness, nutritional, and frequency-based modalities — have been fully explored and exhausted.

  • Institutional convenience, cost-reduction, or family pressure shall not constitute grounds for initiating palliative care.
  • Gregory Hall shall have authority to communicate with treating physicians, hospitals, and care teams regarding available alternatives.
  • No hospital, physician, or third party may override this directive without a court order from the Ontario Superior Court of Justice.
5. WELLNESS PROTOCOL COMPLIANCE — LIQUIDATED DAMAGES CLAUSE

LEGALLY BINDING FINANCIAL CONSEQUENCE — GENUINE PRE-ESTIMATE OF LOSS: The parties acknowledge that if any person — including the Grantor’s family, next of kin, substitute decision-makers, or any other party acting on the Grantor’s behalf — (a) fails to purchase, provide, or implement the wellness products, supplements, or protocols prescribed by Gregory Hall within the timeframe specified; (b) obstructs, delays, or refuses to facilitate access to said protocols; or (c) takes actions that result in the Grantor being denied the prescribed interventions — such party or parties shall be jointly and severally liable to pay Gregory Hall the sum of TEN THOUSAND CANADIAN DOLLARS ($10,000 CAD) as liquidated damages. The parties agree this sum represents a genuine pre-estimate of the losses suffered by Gregory Hall, including: lost capacity revenue, cost of onboarding a replacement client, time expended on the case, and the irreversible nature of harm caused by non-compliance. This clause is not a penalty but a contractual liquidated damages provision enforceable pursuant to Dunlop Pneumatic Tyre Co. v. New Garage & Motor Co. [1915] AC 79 and J.G. Collins Insurance Agencies Ltd. v. Elsley [1978] 2 SCR 916 (SCC).

  • This sum is a genuine pre-estimate of loss and is therefore enforceable under Ontario law as liquidated damages, not a penalty.
  • This amount is immediately due and payable upon written determination of non-compliance by Gregory Hall and is recoverable in the Ontario Superior Court of Justice or Small Claims Court (jurisdiction up to $35,000 CAD).
  • All signing parties confirm they have had opportunity to seek independent legal advice regarding this clause and execute it voluntarily.
6. REVOCATION — s. 47, SDA 1992

This Agreement shall remain in full force until the Grantor’s death or until validly revoked pursuant to s. 47 of the Act. Valid revocation requires: (a) written notice signed by the Grantor while capable; (b) witnessed by the same two qualified witnesses present at original execution; and (c) delivery of the revocation to Gregory Hall. No family member or third party may unilaterally revoke or override this Agreement absent a court order. This Agreement is specifically intended to operate during the Grantor’s incapacity.

7. GRANTOR’S ACKNOWLEDGMENT OF CAPACITY AND VOLUNTARY EXECUTION

I confirm that: (a) I am at least 18 years of age and am capable of making personal care decisions at the time of signing; (b) I understand the nature, scope, and legal effect of this Agreement including the liquidated damages clause; (c) I am executing this Agreement voluntarily and free from coercion, undue influence, or pressure; (d) I have had full opportunity to obtain independent legal advice; and (e) I intend this Agreement to be legally binding under the laws of Ontario, Canada.


PART A — CLIENT / GRANTOR SIGNATURE
Client Signature Grantor of Power of Attorney
Date of Signing (DD/MM/YYYY)
Client Full Legal Name (Print)

PART B — ATTORNEY FOR PERSONAL CARE
Gregory Hall Attorney for Personal Care — Quantum Health Boss
Date (DD/MM/YYYY)

PART C — WITNESSES (Required — s. 10, SDA 1992)

Each witness must be 18+ years of age. Witnesses CANNOT be: the Attorney, the Attorney’s spouse or partner, the Grantor’s spouse, partner, or child, any person whose property is under guardianship, or any person who may benefit from this Agreement. Only one witness may be a relative of the Grantor. For virtual signing, one witness must be a Law Society of Ontario licensee — s. 10, SDA 1992.

Witness #1 Signature Must NOT be Attorney, spouse, child, or beneficiary
Witness #2 Signature Must NOT be Attorney, spouse, child, or beneficiary
Witness #1 Full Printed Name
Witness #2 Full Printed Name
Witness #1 Full Address
Witness #2 Full Address

PART D — Notary Public / Commissioner for Oaths (Strongly Recommended)

Commissioning this document provides an additional authentication layer that substantially strengthens enforceability in any legal proceeding, including enforcement of the liquidated damages clause. Commissioning is strongly recommended.

Commissioner / Notary Signature & Official Stamp
Date Commissioned (DD/MM/YYYY)