Your Agent and service provider, typically a physician, must jointly determine whether you have decision-making capacity. In practical terms, if your capacity loss was gradual, and didn’t occur immediately from unforeseen trauma or an accident, the Agent appointed in your Personal Directive, usually a trusted friend, family member, or loved one, would attend your physician’s office, discuss your decision-making capacity, and your physician would then prepare a written capacity report. If giving someone else that sort of control over your decision-making scares you, it’s comforting to know that you can request a capacity reassessment from another physician or make a court application regarding your capacity.