Appointment of Medical Treatment Decision Maker (Signed on Behalf of the Maker)

Appointment of Medical Treatment Decision Maker (Signed on Behalf of the Maker)

If you’re appointing someone you trust to make medical treatment decisions on your behalf, this is the form you need.

This do-it-yourself document generator helps you draft an Appointment of Medical Treatment Decision Maker agreement that complies with the format approved by the Department of Health and Human Services of Victoria and is entirely tailored to your requirements and needs.
$ 99 incl GST
Appointment of Medical Treatment Decision Maker (Signed on Behalf of the Maker)

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How does it work?

Our intuitive tool will guide you through the process step-by-step from start to finish. It’s quick, easy and simple to understand – just how legal documents ought to be.

The expert interview wizard will help you answer a few questions and prepare your document in the background. You’ll have your custom Appointment of Medical Treatment Decision Maker in 5 minutes or less.

When you’re done, print or download a PDF version for you to review, customise or sign.

What is an Appointment of Medical Treatment Decision Maker (Signed on Behalf of the Maker)?

A medical treatment decision maker is someone you trust to make difficult medical decisions on your behalf – for example, when you’re unconscious or otherwise incapacitated. This document formalises the process in accordance with the relevant legislation of your state.

Please use this document if you are unable to sign for yourself and will need to direct someone to sign the appointment on your behalf.

When should I use an Appointment of Medical Treatment Decision Maker (Signed on Behalf of the Maker)?

This tool should be used if you want to appoint someone to be your medical treatment decision maker, but you’re unable to sign it yourself. This document is designed for someone else to sign under your direction and in your presence.

These are just some conditions where an appointee will be necessary:

  • Acquired brian injury
  • Cognitive impairment
  • Unconsciousness (e.g., after injury during high-contact sport)
  • Inability to communicate (e.g., after a stroke)
  • Dementia

Some people also find comfort in letting an appointee know that they do not want life support in an illness or after an accident.

What topics does this Appointment of Medical Treatment Decision Maker cover?

  • Personal details of the parties
  • Limitations or conditions
  • Boilerplate language

What are the main decisions I need to make in creating an Appointment of Medical Treatment Decision Maker ?

  • Who will be your appointees?
    If you choose to appoint two people, the decision maker will be the first person listed in the appointment who is available, willing and able to act at the time.

What other names does an Appointment of Medical Treatment Decision Maker go by?

An Appointment of Medical Treatment Decision Maker  is also known as: 

  • Advance care directive
  • Advance personal plan
  • Appointment of support person
  • Enduring guardianship
  • Instrument appointing enduring guardianship
  • Health direction

Frequently Asked Questions

The parties involved are you (the Appointor) and up to two appointees.

This document assumes someone else is signing on your behalf.

Two adult witnesses must be present in the signing. One of the two witnesses must be an authorised witness (i.e., a medical practitioner or someone able to witness affidavits in your State or Territory).

Generally you would need this document when you want to allow someone (up to two people) to make medical decisions on your behalf.

The person has to be an adult (18 years old) with decision making capacity. 

You are free to revoke the appointment of a medical treatment decision maker at any time by filing the appropriate revocation form.

Generally, they can make all the decisions about healthcare and medical treatments for you. Our tool lets you set out limitations and conditions to their decision making if you opt for it.

They are legally obligated to act in your best interest, so please make sure you discuss your medical preferences, values and beliefs with them.

They will not be able to make financial or property decisions.

Any adult may sign in your half as long as they are not a witness to the signing of the appointment and not an appointee.

  • Your personal details as the appointor
  • Name, Date of Birth and Addresses of up to two appointees
  • Optional: personal details of signee
  • Optional: personal details of witnesses
  • Optional: personal details of an interpreter 
  • Signing and witnessing formalities for the person signing for the appointor
  • Statement of acceptance

There are several signing options available. How you sign largely depends on where the parties are located and if they will attend signing together. You can print on paper and sign, or use electronic signature tools such as Docusign or Hellosign.

If you need any assistance please contact us directly, we would be happy to assist.

If you have any questions or are uncertain about any aspect of the document please do not sign it or use it. Please contact us directly and we would be happy to assist.

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$ 99 incl GST

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If you’re interested in a Appointment of Medical Treatment Decision Maker you might also need to think about:

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