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Queensland advance care planning forms

Advance care planning documents will only be used if a person is unable to make or communicate their decisions. People can change their mind, their plans, their Statement of Choices and legal documents at any time while they have decision-making capacity to do so.

Download the Statement of Choices form

The Statement of Choices form focuses on a person's wishes and choices for health care into the future.

Statement of Choices Form A

Statement of Choices Form A--for people who can make their own health care decisions.

It is a good idea to include your doctor, family, and substitute decision-maker/s in the process to ensure they understand your wishes.

Tips for how to complete Form A

Statement of Choices Form A

Statement of Choices Form B--for people who cannot make their own health care decisions or who require support with decision-making.

If you are the substitute decision-maker, when completing the form, give your views based on what you believe is in the person's best interests, taking into account their previously expressed wishes and the views of their significant others. Include the person's doctor and other decision-makers in the process to ensure the form most completly reflects the person's values.

Tips for how to complete Form B

Statement of Choices Form A
 
The Statement of Choices is a values based advance care planning (ACP) form used throughout Queensland. To download the Statement of Choices from your local health service area, enter the suburb or postcode of your Queensland residence or Queensland based health service.

Please enter your suburb or postcode

Download the Advance Health Directive form

Advance Health Directive

Advance Health Directive form--for people who have decision-making capacity.

 

Download an Enduring Power of Attorney form

Enduring Power of Attorney short form

Enduring Power of Attorney short form--Used if you have decision-making capacity and wish to appoint the same attorney for health and financial matters.

Enduring Power of Attorney long form

Enduring Power of Attorney long form--Used if you have decision-making capacity and wish to appoint different attorneys for health and financial matters.


Download the Interpreter's/Translator's Statement form

Interpreter's/Translator's Statement form

Interpreter's/Translator's Statement form--used if an interpreter/translator is involved in the signing of an Advance Health Directive or Enduring Power of Attorney document.


Download the Revocation of an Enduring Power of Attorney form

Revocation of an Enduring Power of Attorney form

Revocation of an Enduring Power of Attorney form--Used if you have decision-making capacity and wish to revoke (cancel) the appointment of a person or persons as your attorney(s).

Last updated 11 April 2019
Last reviewed 4 December 2018

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