Frequently Asked Questions
Here are the questions we receive most often. If you have other queries, feel free to WhatsApp us directly.
If I collapse at home without a pulse, will paramedics still perform CPR? Will my AMD stop them?
Paramedics will still perform CPR. An AMD is not a document that can be assessed on-site — paramedics cannot determine whether your AMD's three qualifying conditions (terminal illness, PVS, etc.) are met. To prevent paramedics from performing CPR, you need a DNACPR order signed by two doctors. We recommend having both AMD and DNACPR.
Can I change my mind after signing an AMD?
Yes. You can revoke an AMD at any time, either orally or in writing. If you regret signing it, simply inform your doctor or family, or destroy the document yourself. The principle of AMD is to respect your latest wishes.
How long does it take to sign an AMD? What's the process?
After the doctor arrives, the entire process takes about 30 minutes. Steps include: the doctor speaks with you to confirm you are mentally competent and signing voluntarily (Mental Capacity Assessment); you sign the AMD before two witnesses; the original document is kept by your family. The whole process is completed at your home — no hospital or law firm visit required.
Is AMD expensive?
We offer reasonable pricing. The home-visit signing service is conducted by a registered doctor and includes witness arrangement. Since each client's situation varies (whether you also need EPA, remote location, etc.), please contact us on WhatsApp for a personalised quote. Our pricing is transparent with no hidden fees.
What's the difference between AMD and DNACPR? Do I need both?
An AMD is a legal document signed by you (the patient), expressing your wishes regarding medical treatment. A DNACPR is a clinical order signed by a doctor, instructing medical staff not to perform CPR. Ideally, having both provides the most comprehensive protection — AMD protects your treatment wishes in hospital, while DNACPR ensures paramedics know not to perform CPR on-site.
Do I need a lawyer to sign an AMD?
No. The legal requirements for an AMD are: the signatory must be mentally competent, signing voluntarily, in writing, with two witnesses (one must be a doctor). No lawyer is required. Our doctor team will prepare all documents and arrange witnesses.
What if I don't have family? Can I still sign an AMD?
Yes. You only need two witnesses (one being a doctor) to sign an AMD. After signing, you can keep the original with a trusted friend, social worker, or custodian. We will provide recommendations for document safekeeping.
If I want a home death, do I need AMD or DNACPR?
If you choose home death, AMD or DNACPR is generally not needed. The key to a home death is having a willing doctor who can issue a Medical Certificate of Cause of Death at home — no need to call an ambulance or go to A&E. Our DoctorNow Home provides comprehensive home death solutions, including doctor visits, end-of-life care, and after-death arrangements.
Does AMD have an expiry date?
AMD has no fixed expiry date. As long as you were mentally competent when signing, the document remains valid. However, we recommend reviewing your AMD periodically to ensure it still reflects your wishes. If your health condition changes significantly or your views on treatment change, you can revoke the old AMD and sign a new one.
Will public hospitals respect my AMD?
Yes. Since July 2024, the Advance Decision on Life-sustaining Treatment and Advance Medical Directive Ordinance (Cap. 636) has further clarified the legal effect of AMD, and all public hospitals are required to comply. However, hospitals need to verify that your AMD meets legal requirements (including witness arrangements) before enforcing it. Our service ensures documents are fully compliant.