Applications

APPLICATION FOR MEDIATION

What is this form for?

Use this form to apply for mediation to resolve disputes

  • If the person has made an advance care directive and there is a disagreement about a health, accommodation or personal decision that has to be made for that person.  This includes people who have made an Enduring Power of Guardianship, a Medical Power of Attorney or an Anticipatory Direction  before July 1st 2014.
  • If a person does not have an advance care directive, but there is a disagreement about health care and/or medical treatment. This includes disputes involving children under 16 years of age.

Who can Apply?

  • the person who the decision is about (self)
  • a substitute decision- maker appointed under an advance care directive
  • If the matter relates to a child (under 16yrs) a parent or guardian of the child
  • a relative of the person
  • If the person is a patient with impaired decision making capacity in respect to a particular decision, a person responsible for the patient
  • a health practitioner giving, or proposing to give health care to the person
  • any other person who the Public Advocate assesses as having a proper interest in the life of the person and the dispute.

To download the application for mediation click here

 

APPLICATION FOR DECLARATION

What is this form for?

Use this form if you are applying for Declaration about an Advance CareDirective

Declarations can be made about

  • the nature and scope of a person’s powers or responsibilities under the advance care directive
  • whether or not a particular act or omission  is within the powers , or discharges the responsibilities of, a person under the advance care directive
  • a declaration about whether a person has the decision making capacity to make a particular decision
  • including EPG

Who can make this application?

  • The person who made the advance care directive
  • A substitute decision maker appointed under the advance care directive
  • A health practitioner providing, or who is proposing to provide health care to the person who made the advance care directive
  • Any other person who satisfies the Public Advocate that he or she has a proper interest in the particular matter relating to the advance care directive

To download the application for declaration click here