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 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 Authorisation to act on an incapacitated person's behalf for Medicare purposes form.
This information was printed 1 April 2026 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.