Refer to our Advance Care Planning Support Service

Refer your patient or client, their loved one or carer to our free phone National Advance Care Planning Support Service. We’ll help them by providing individual advance care planning support to suit their needs.

We can help them with:

Understanding advance care planning
Thinking about values and preferences
Having the conversation with loved ones
Choosing or acting as a substitute decision-maker
How to complete and store documents

Once you’ve made the referral, we’ll give them a call within two business days.

Please ensure you have informed consent to make a referral. It is the sole responsibility of the referrer to seek a person’s informed consent before providing Advance Care Planning Australia with a person’s contact details.

Make a referral

Referral date*

Referrer name*

Referrer role*

Referral organisation*

Referrer contact

Client/patient name*

Patient/client email*

Patient/client phone

Does patient have decision-making capacity?

Patient consent obtained?*

Substitute decision maker enquiry*

State/territory*

Patient contact method

Translator required?

Language (if applicable)

Additional information*

You are currently:

Refer to the Support Service

Refer to our Advance Care Planning Support Service

Make a referral

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