Use this form to prove that a care recipient or nominee has consented that an aged care service or Aged Care Assessment Team can request a copy of their electronic Aged Care Client Record.
You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.
Download and complete the Consent to release an aged care client record.
Aged care services include Residential care, Home care and Multi Purpose Services.
This information was printed 1 April 2026 from https://www.servicesaustralia.gov.au/ac010. 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.