This document follows the format of the Form 4 Advance Health Directive approved by the Government of Queensland to make an Advance Health Directive pursuant to the Powers of Attorney Act 1998 (QLD).
The form is created by an adult who is called “The Principal”.
Use this document to state wishes and direction regarding the future health care for the Principal.
Use this form to also appoint Enduring Attorneys for personal matters or health matters.
Use a separate Enduring Power of Attorney to appoint Attorneys as decision makers for financial matters.
If the Principal wants to appoint Attorneys as decision makers for personal matters and doesn’t want to use the Advance Health Care Provisions, use an Enduring Power of Attorney for personal or health matters.
1️⃣ It's compulsory for a Doctor to sign this form.
2️⃣ The Principal can record information about:
3️⃣ The Principal can record directions in the event that the Principal, suffers from terminal incurable or irreversible conditions.
4️⃣ The Principal can record information about special medical conditions.
5️⃣ The Principal can make a Personal Statement about their views of health care or special health matters not already covered.
6️⃣ The Principal can record the details of an existing Enduring Power of Attorney appointing Attorneys as decision makers for personal or health matters.
7️⃣ The Principal can create a new Enduring Power of Attorney to appoint Attorneys as decisions makers for personal or health matters.
8️⃣ The Principal cannot use this document to appoint Attorneys for financial matters.