• Authority to act on your behalf

    Authority to act on your behalf

  • By signing the “Authority to act on your behalf” form, you are giving Compatible Care Nursing Services consent to obtain relevant medical records, reports and/or statements from your treating medical practitioner, hospital and other relevant medical documents.  The purpose of collecting this health information is to assist Compatible Care Nursing Services in finding suitable accommodation within the Aged Care Sector or care in the home.  By not consenting to the collection of this information, Compatible Care Nursing Services may be unable to proceed in ensuring the correct accommodation is sourced at the appropriate care level required. 

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  • hereby give permission for Compatible Care Nursing Services, or designated representative, to receive all required medical documents, information and personal details and the authority to discuss medical needs with relevant agencies in order to secure required care services.

    This form also authorises Compatible Care Nursing Services to liaise on my behalf in the process of setting up transitional, residential or home care services required with my current health status.

  • Care Recipients Representative Information

    If the person filling out this form is not the client, please enter your details below and attached your Enduring Power of Attorney and/or Enduring Power of Guardianship
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