[GP OR Doctor]

Dear Dr [insert doctor’s name]

Client name

Client address

Client date of birth

I am acting for [insert client’s name] in connection with the preparation of a Lasting Power of Attorney in relation to their financial decisions.

A lasting power of attorney is a legal document that allows a person to appoint one or more individuals to make decisions on their behalf in case they become unable to make decisions due to mental incapacity or other reasons.

I should be grateful if you could assist with the preparation of a report confirming whether they have the requisite mental capacity to sign a lasting power of attorney for financial affairs.

As part of the assessment the individual must be able to demonstrate that they can understand:

The relevant test of capacity is found in the Mental Capacity Act 2005 (MCA 2005) and provides that:

“A person lacks