Use this form if you want to act on behalf of someone who is incapable of managing their own affairs for Medicare services.
You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology.
Download and complete the Authorisation to act on an incapacitated person's behalf for Medicare purposes form.
This information was printed 18 January 2025 from https://www.servicesaustralia.gov.au/mo050. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/site-notices when using this material.