VIC

Advance care planning in Victoria

Forms and requirements for writing advance care plans and appointing substitute decision-makers vary between and states and territories.

In Victoria, the components of an advance care plan are an Advance Care Plan, an Enduring Power of Attorney (Medical Treatment) and a Refusal of Treatment Certificate.

Please note: changes to the Medical Treatment Planning and Decision Act 2016, coming in to effect on 12 March 2018, will affect these forms. New forms reflecting these changes will be uploaded here on 12 March 2018. Please see below for more information about the changes to the Act.

Forms

  • Form

    Advance Care Plan - Form/Template (VIC)

    Victorian Government

    The state of Victoria offers a template that a person may fill out or use as an example to write their own advance care directive. Write down specific information relating to your wishes, values and any treatments you would not wish to receive.
  • Form

    Appoint an Enduring Power of Attorney (Medical Treatment)

    Office of the Public Advocate

    In Victoria, a substitute decision-maker is known as a 'medical agent' and is appointed using a Medical Enduring Power of Attorney form. Find the form and more information about this legal document, where an individual appoints another person with the power to make decisions about medical treatment on their behalf.
  • Form

    Refusal of Treatment Certificate Agent or Guardian of Incompetent Person (VIC)

    Office of the Public Advocate

    The legislation allows the appointment of an agent/substitute decision maker who can refuse treatment. The form for this is the Refusal of Treatment Certificate Agent or Guardian of Incompetent Person (VIC). That is, when a substitute decision-maker refuses treatment on behalf of a person who is unable to make decisions.
  • Form

    Refusal of Treatment Certificate Competent Person (VIC)

    Office of the Public Advocate

    A patient can write a 'refusal of treatment' certificate, but only for a current illness, which does not have to be terminal (Medical Treatment Act 1988). The form for this is the Refusal of Treatment Certificate Competent Person (VIC), the certificate required if a person who is able to make decisions is refusing treatment in Victoria.

Please note: changes to Victorian forms.

The Medical Treatment Planning and Decisions Act 2016 goes into effect 12 March 2018, affecting Victorian forms.

  • If you have completed the forms prior to 12 March 2018, they will still be valid. You will not be required to complete new forms.
  • If you are completing forms after 12 March 2018, different forms will be required. These forms will be available here on 12 March 2018.

  • Articles & Publications

    Medical Treatment Planning and Decisions Act 2016 FAQ

    State Government of Victoria

    Answers to common questions for health practitioners and individuals who are affected by or interested in the Act that comes into effect March 2018.
  • Articles & Publications

    Summary of the Medical Treatment Planning and Decisions Act 2016

    State Government of Victoria

    A summary of the Medical Treatment Planning and Decisions Act 2016 for health practitioners.
  • Articles & Publications

    Guide to the Medical Treatment Planning and Decisions Act 2016.

    State Government of Victoria

    A guide to understanding the Medical Treatment Planning and Decisions Act 2016 for health practitioners.
  • Articles & Publications

    Changes to advance care directives — Medical Treatment Planning and Decisions Act 2016

    Russell Kennedy Lawyers

    The law surrounding advance care directives and the associated obligations on health practitioners are set to change in Victoria in March 2018.

More information

  • Website

    Advance care planning in Victoria

    State Government of Victoria

    Learn more about advance care planning in Victoria through the Department of Health and Human Services website.
  • Website

    Advance Care Planning Australia

    Advance Care Planning Australia

    Advance Care Planning Australia (ACPA) is a national program funded by the Australia Government Department of Health, enabling Australians to make the best choices for their life and health care.
  • Fact sheet

    Advance care planning fact sheet for individuals and family

    Advance Care Planning Australia

    Information about advance care planning for individuals and their families.
  • Fact sheet

    Advance care planning fact sheet for substitute decision-makers

    Advance Care Planning Australia

    Information about advance care planning for substitute decision-makers.
  • Fact sheet

    Advance care planning fact sheet for care workers

    Advance Care Planning Australia

    Information about advance care planning for care workers.
  • Fact sheet

    Advance care planning fact sheet for healthcare professionals

    Advance Care Planning Australia

    Information about advance care planning for healthcare professionals.