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Your Details

We need this information to help complete your Appointment of Enduring Guardian.
How many Appointments of Enduring Guardians would you like to make?
Your Full Name
Current residential address
Date of Birth
How many Guardians would you like to appoint? (not including any Substitute Guardians)

Appoint a Guardian

In this section tell us who you would like to appoint as your Guardian. Your Guardian has the legal authority to make health decisions for you if because of disability you are unable to make those health decisions for yourself.
You will have the opportunity to nominate a Substitute Guardian in the event that your Guardian is unable to act.
Would you like to appoint Substitute Guardians in the event that your abovenamed Guardians cannot act?

Functions of your Enduring Guardian

In this section you can tell us what functions your Guardians are authorised to carry out.
I authorise my enduring guardian(s) to exercise the following functions:

Access to Medical Records

Do you authorise and direct any person holding your medical records to provide such to my Guardian if requested by your Guardian.