Medication Consent Form

A medication consent form that records informed consent for support workers to assist with or administer medication. The participant or their authorised representative signs it. Complete a separate form for each participant, and a new or amended form when medications change.

What is inside:

• Participant details
• Consent giver details, whether the participant can consent themselves, and the basis of any representative's authority
• Types of assistance consented to, from reminders and Webster packs to oral, topical, inhaled and eye or ear medications
• Medications covered: name, dose, route and prescriber
• Known allergies, adverse reactions and special instructions
• Consent declaration covering risks and benefits, the right to withdraw consent and assistance by competent staff
• Signatures of the participant or representative and a provider representative
• Review and update table

Good to know: the terms used for substitute decision-makers vary between states and territories, so check the authority you sight against local law.

• Reviewed against the current NDIS Rules, Practice Standards and Commission guidance
• Editable DOCX with a placeholder legend, so you enter your details once
• Instant download

These templates are general information, not legal advice. No template can guarantee registration or audit outcomes.