Appointment of Support Person – VIC (Someone signing on your behalf)

This document follows the format of the form approved by the Department of Health and Human Services of Victoria for the appointment of a Support Person pursuant to the Medical Treatment Planning and Decisions Act 2016 (VIC).

Use this document as follows:

1️⃣ Appoint 1 Support Person for the Appointor.

2️⃣ The Support Person can be an adult or a child.

3️⃣ The role of the Support Person is to support the Appointor.

4️⃣ The Support Person cannot make any Medical Treatment Decisions for the Appointor.

5️⃣ The Appointor can direct another person to sign this document in their presence if they are unable to do so for themselves.

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