ContractAdvance Agreement • February 9th, 2016
Contract Type FiledFebruary 9th, 2016* 1 5 2 9 9 * ACT HealthAdvance AgreementMental Health, Justice Health, Alcohol and Drug Services Complete details or affix label URN: Family name: Given names: DOB: Gender: Section 27 Mental Health Act 2015 An Advance Agreement can be completed on an electronic template or handwritten on a printed form from the Clinical Forms Register. Please attach extra pages if needed.An Advance Agreement is a written document that sets out information you feel is relevant to your treatment, care or support for your mental disorder or mental illness. It also sets out your preferences in relation to practical help you may need as a result of your mental disorder or mental illness. E.g. matters such as who will look after my house/cat?An Advance Agreement does not include information such as which medication you would prefer, or who you would like information about your treatment shared with. That information is included in an Advance Consent Direction. If you have an Advance Consent Direction, it