A person may be appointed as committee to manage an incapable person and/or their affairs.

The usual process is to bring an application under the Patients Property Act [RSBC 1996] Chapter 349 for an order declaring the person incapable, and the appointment of a committee.

A person applying for a committeeship order must provide affidavits of two medical practitioners setting out their opinion that the person who is the subject of the application is, because of mental infirmity arising from disease, age or otherwise, or disorder or disability of mind arising from the use of drugs, incapable of managing their person or their affairs. Without the two affidavits, the court cannot make the order under the act.

Sometimes, the applicant is unable to obtain the two medical affidavits. The patient may be in denial or otherwise refuse to submit to a medical examination. There are cases which discuss the limited circumstances where a person can be ordered to submit to a medical examination for this purpose (which is in conflict with rights to personal autonomy). See for example Temoin v. Martin 2012 BCCA 250.

In the B.C. Supreme Court case of Re Binder (Patients Property Act) 2022 BCSC 990, the Court dealt with a different issue. The petitioner sought orders declaring his father incapable and appointing the petitioner as committee. The father lived in a care home in Switzerland. There was evidence that two Swiss medical professionals assessed the father, and concluded that he suffered from severe cognitive impairment, and increasing signs of dementia. They also noted that the father had a negative attitude about undergoing further examinations. One of the doctors concluded that the father had a “lack of capacity to judge the necessity of supportive measures”, and “capable of judgment” had a specific meaning under Swiss law. The petitioner had been appointed in Switzerland to manage his father’s assets.

The petitioner argued that there was a gap in the Patients Property Act for admitting evidence from foreign medical practitioners and recognizing foreign adult guardianship orders. Due to the circumstances, including the father being in Switzerland had the evidence of his resistance to undergoing further medical assessment, the petitioner had no meaningful way to obtain the two medical affidavits to meet the requirements of the Patients Property Act.

The Court agreed, and was satisfied that pursuant to its inherent parens patriae jurisdiction, it could make the declaration and appointment of the petitioner as committee.

This case is helpful authority for a person who has obtained an adult guardianship order in another jurisdiction, and seeks a committeeship order in British Columbia but is unable to obtain the two medical affidavits.