Queensland advance care planning forms
You can complete any advance care planning forms that meet your needs.
Please note that advance care planning forms cannot be used to make requests for voluntary assisted dying. You can find more information in this factsheet about advance care planning and voluntary assisted dying in Queensland (PDF, 313kB).
Advance Health Directive
The Advance Healthcare Directive (AHD) is a legally binding document that allows you to give directions about your future health care and special health care. You can also use this form to appoint an attorney for health matters. This document can be used in certain circumstances to provide directions about future health care.
A doctor or nurse practitioner will need to sign the certificate to confirm that you have capacity to make the decisions contained in it. To be complete, an AHD must also be witnessed by an eligible witness (Justice of the Peace, Commissioner for Declarations, Lawyer or Notary Public).
The documents you need to complete your Advance Health Directive are:
- Advance Health Directive explanatory guide (Form 10) read this before you begin filling in Form 4.
- Advance Health Directive (Queensland) (Form 4)
- Additional page (Form 8) if you need to attach any additional pages to Form 4.
Please note: a new Advance Health Directive form was approved for use in Queensland from 30 November 2020. If an AHD 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.
Enduring Power of Attorney form
Enduring Power of Attorney documents allow you to legally appoint attorney(s) and set out terms for how the power operates. These documents must be witnessed by an eligible witness (Justice of the Peace, Commissioner for Declarations, Lawyer or Notary Public).
There are two forms you can use to create an enduring power of attorney:
- Short form (form 2) - if you want to appoint the same person for health and financial matters.
- Long form (form 3) - if you want to appoint different people for health and financial matters.
The documents you need to complete your Enduring Power of Attorney are: .
- Enduring Power of Attorney explanatory guide (Form 9) read before you begin filling in form 2 or 3.
- Enduring Power of Attorney short form (Queensland) (Form 2) or Enduring Power of Attorney long form (Queensland) (Form 3)
- Additional page (Form 8) if you wish to attach any additional pages to the form.
Please note: new Enduring Power of Attorney (EPOA) forms were approved for use in Queensland from 30 November 2020. If an 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 forms and when you should use them.
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).
Interpreter's/Translator's Statement form
An Interpreter’s/Translator’s Statement form (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.
Statement of Choices
The Statement of Choices is a values-based document that records your wishes and preferences for health care. Its purpose is to guide or inform the people who may need to make health care decisions for you if you are unable to make those decisions for yourself. It helps decision makers to consider what decisions you might have made in the circumstances if you had capacity to do so. It is not a legally binding document. It does not provide consent to, or refusal of treatment.
There are two different forms for Statement of Choices:
- Form A – for people who can make health care decisions for themselves.
- Form B – for people who cannot make health care decisions for themselves.
Statement of Choices Form A
Form A should be completed by you while you have capacity and can make decisions for yourself. You will need to get a doctor or nurse practitioner to sign and date the form, but it does not need to be formally witnessed.
Statement of Choices Form B
If you no longer have capacity, Form B should be completed by your legally appointed substitute decision-maker(s). If you do not have a legally appointed decision maker, it should be completed by someone who is in a close and continuing relationship with you. It should not be completed by your healthcare provider.
The form should reflect your decision maker’s best understanding of your views about:
- what is important to you
- your wishes for care
- the outcomes you might find acceptable/unacceptable.
They should consider what you have said or done in the past, your personal, cultural, religious or spiritual beliefs and practices that you might want respected. A doctor or nurse practitioner will need to sign and date the form, but it does not require witnessing.