Applications

APPLICATION FOR MEDIATION

What is this form for?

Use this form to apply for mediation to resolve disputes

If the person has made an advance care directive and there is a disagreement about a health, accommodation or personal decision that has to be made for that person. This includes people who have made an Enduring Power of Guardianship, a Medical Power of Attorney or an Anticipatory Direction before July 1st 2014.
If a person does not have an advance care directive, but there is a disagreement about health care and/or medical treatment. This includes disputes involving children under 16 years of age.

Who can Apply?

the person who the decision is about (self)
a substitute decision- maker appointed under an advance care directive
If the matter relates to a child (under 16yrs) a parent or guardian of the child
a relative of the person
If the person is a patient with impaired decision making capacity in respect to a particular decision, a person responsible for the patient
a health practitioner giving, or proposing to give health care to the person
any other person who the Public Advocate assesses as having a proper interest in the life of the person and the dispute.

To download the application for mediation click here