My Care, My Choices
Advance Care Planning
Queensland advance care planning forms
Advance care planning documents for health care will only be used if a person is unable to make or communicate their decisions at the time they are needed. People can change their Statement of Choices and legal documents (i.e. Advance Health Directive, Enduring Power of Attorney) at any time while they have decision-making capacity to do so.
Download the Statement of Choices form
The Statement of Choices can be used to record views, wishes and preferences for health care. Its purpose is to guide or inform those who need to make health care decisions for a person who is unable to make those decisions for themselves. It is not a legally binding document that is able to give consent to, or refusal of treatment.
Statement of Choices Form A—for people who can make health care decisions for themselves.
It is a good idea to include your doctor, family, and substitute decision-maker/s in the process to ensure they understand your wishes.
Statement of Choices Form B—for people who cannot make health care decisions for themselves.
Form B should be completed by the person's legally appointed substitute decision-maker(s), or if not applicable, person(s) in a close and continuing relationship with the individual. A person's healthcare providers should not complete the Statement of Choices on a person's behalf.
When completing the form, it should reflect best understanding of the person's views about what's important to them, their wishes for care, and the outcomes they might find acceptable/unacceptable. This should consider what the person has said or done in their past, their personal, cultural, religious or spiritual beliefs and practices that they might want respected.
Important
New Advance Health Directive (AHD) and Enduring Power of Attorney (EPOA) forms have been approved for use in Queensland from 30 November 2020.
- Forms to be completed after 30 November 2020 - use the new AHD/EPOA forms.
If an AHD or EPOA was made correctly using an older version of the form and it was valid, it will continue to be valid. For more information, please read these Frequently Asked Questions about the new EPOA and AHD forms and when you should use them.
Download the Advance Health Directive form
An Advance Health Directive (Form 4) can be used by people who have decision-making capacity. This legally binding document allows a person to give directions about their future health care and special health care. This form can also be used to appoint an attorney(s) for health matters.
Advance Health Directive (Queensland)
Please read the Advance Health Directive explanatory guide (Form 10) before you begin filling in your Advance Health Directive (Form 4).
Use this Additional page (Form 8) if you wish to attach any additional pages to this document.
Download an Enduring Power of Attorney form
Short form
An Enduring Power of Attorney short form (Form 2) can be used by people with decision-making capacity who wish to legally appoint the same attorney for health and/or financial matters.
Enduring Power of Attorney short form (Queensland)
Please read the Enduring Power of Attorney explanatory guide (Form 9) before you begin filling in your Enduring Power of Attorney (Form 2 or Form 3).
Use this Additional page (Form 8) if you wish to attach any additional pages to this document.
Long form
An Enduring Power of Attorney long form (Form 3) can be used to legally appoint different attorneys for personal (including health) matters and for financial matters.
Enduring Power of Attorney long form (Queensland)
Please read the Enduring Power of Attorney explanatory guide (Form 9) before you begin filling in your Enduring Power of Attorney (Form 2 or Form 3).
Use this Additional page (Form 8) if you wish to attach any additional pages to this document.
Download the Interpreter’s/Translator’s Statement form
An Interpreter's/Translator's Statement (Form 7) is used by an interpreter or translator who interprets or translates an Advance Health Directive or Enduring Power of Attorney document. This form must be attached to the document to which it applies.
Download the Revocation of an Enduring Power of Attorney form
A Revocation of an Enduring Power of Attorney form can be used if you have decision-making capacity and wish to revoke (cancel) the appointment of a person or persons as your attorney(s).
