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Queensland advance care planning forms

Forms to record your future health care choices

We have advance care planning forms for people living in Queensland.

The only form that isn’t legally binding is the statement of choices.

When you've completed and signed your forms and had them witnessed, send copies to the Statewide Office of Advance Care Planning.

If you live in another state or territory, there are different forms you need to fill in. Advance Care Planning Australia has information and forms for each jurisdiction.

Read our forms quick guide (PDF, 167 KB) for a summary of each form, and who signs it.

Advance health directive

The advance health directive is a legal document used to give directions in certain situations about your future health care and medical treatment. You can also use it to appoint an attorney for health matters.

To make an advance health directive, you must be over 18 and have capacity to make your own decisions.

Your directive is only used when you can't make decisions or tell people what you want.

Advance health directive forms

Read our guide before you fill in the form.

You can attach an extra page if you need more room. You must do this before it's signed.

If you use an interpreter or translator, attach the interpreter's/translator's statement.

If you'd only like to document your preferences for mental health treatment, use the advance health directive for mental health (PDF, 4.66 MB).

Who signs your advance health directive

Cancelling an advance health directive

You can cancel your advance health directive at any time if you have capacity to make decisions.

You don't need to fill in a form, but you must cancel it in writing. Give a copy of the written document to your attorneys, family and health professionals and the Statewide Office of Advance Care Planning. You should also update any digital records, such as your My Health Record.

To cancel an advance health directive for mental health, use the revocation of advance health directive for mental health form (PDF, 644 KB).

Read the explanatory guide to learn about other circumstances that could cancel your advance health directive.

Enduring power of attorney

An enduring power of attorney is a legal document used to appoint someone you trust to make decisions on your behalf about either your:

  • personal matters – such as health care, lifestyle, support, where and who you live with, and legal matters
  • finances – such as expenses, investments, property, or carrying on a business.

You can include which decisions they can make, and when and how they can make them.

Attorneys can only decide about your health care when you don't have capacity to make decisions.

To appoint an attorney, you must be over 18 and have capacity to make your own decisions.

Enduring power of attorney forms

Read our guide before you fill in the form.

You can attach an extra page if you need more room. You must do this before anyone signs the form.

If you use an interpreter or translator, attach the interpreter's/translator's statement.

Who signs the enduring power of attorney

Cancelling an enduring power of attorney

Use the revocation of enduring power of attorney form to cancel your enduring power of attorney. You can do this at any time if you have capacity to make decisions.

You must also tell all of your attorneys about the change.

Read the explanatory guide to learn about other circumstances that could cancel your enduring power of attorney.

Statement of choices

A statement of choices records your values and preferences for health care. It isn’t legally binding, but can guide and inform people who need to decide about your health care if you’re unable to make decisions. It doesn't provide consent to, or refusal of treatment.

Statement of choices forms for people over 18

There are 2 types of forms for people over 18.

Form A

Form A is for people who can decide about their own future health care.

Read the tips for how to complete the form before you fill in Form A.

First Nations people can choose to use my statement of choices Form A – for Aboriginal and Torres Strait Islander peoples (PDF, 728.3 KB) .  It has a user-friendly coversheet that explains advance care planning in a culturally safe way.

Form B

Form B is for people who no longer have decision-making capacity and can’t make health care decisions for themselves. Their legally appointed substitute decision-maker should fill this in on their behalf. If they don't have one, then someone with a close and continuing relationship with them may also fill in the form. It shouldn’t be done by their health care provider.

Read the tips for how to complete the form before you fill in Form B.

First Nations people and their families can choose to use my statement of choices Form B – for Aboriginal and Torres Strait Islander peoples (PDF, 752.1 KB) . It has a user-friendly coversheet that explains advance care planning in a culturally safe way.

Statement of choices forms for children and young people under 18

There are 2 types of forms for children and young people under 18.

Form A

Form A is for a young person who is able to decide about health care.

Form B

Form B is for parents or guardians of a child or a young person who needs support to decide about health care. It may also be used by other legal decision-makers, such as a delegated child safety officer.

You can't fill in this form for someone under 18 if you're their health care provider.

Who signs the statement of choices

  • You, if you’re filling in Form A, or filling in Form B for someone else
  • A doctor or nurse practitioner
  • Other people who helped you with advance care planning
Last updated:
16 July 2025
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