Appointment of Medical Treatment Decision Maker – VIC (Long Form) for 3 or more Medical Treatment Decision Makers

An appointment of a Medical Treatment Decision Maker may be made at the same time as an Advance Care Directive is given or at any other time.

An appointment of a Medical Treatment Decision Maker must:

1️⃣ Be in writing in English;

2️⃣ Include the full name, date of birth and address of the Appointor;

3️⃣ Include any prescribed details in relation to any appointed Medical Treatment Decision Maker;

4️⃣ Be signed by the Appointor or at their direction;

5️⃣ May appoint more than one person as a Medical Treatment Decision Maker;

6️⃣ Must be witnessed in accordance with the Medical Treatment Planning and Decisions Act 2016 (VIC); and

7️⃣ Must be accepted by each appointee in accordance with the Medical Treatment Planning and Decisions Act 2016 (VIC).

The appointed Medical Treatment Decision Maker is the first person listed in the appointment who is reasonably available and willing and able to act at the required time.

Note: Only 2 Medical Treatment Decision Makers can be appointed under the Short Form. More can be appointed under the Long Form.

Create this legal Document

Self Service

Create the document instantly yourself by entering the key details.

A$

77

Lawyer Assisted

Create the document yourself with 30 mins help from a lawyer.

Create the document yourself with 10 minutes help from a lawyer.

A$

132

Full Service

We create a bespoke document based on
your instructions.

From:

A$

132

Please turn your device to landscape mode to begin creating your document.

Please turn your device to landscape mode to begin creating your document.

Thank you! Your message has been received!
Oops! Please check your details and try again.
Thank you! Your submission has been received!
Oops! Please check your details and try again.