The Palliative Care Status Form is the government‑approved document used in Australia to apply for palliative care services under the Aged Care Act. This form collects essential health information, consent details, and eligibility criteria.
This form supersedes all previous versions and must be completed by the patient, their carer, or an authorised representative. It is required for:
Instead of downloading and editing the PDF in a separate program, simply click the "Fill out this form" button on this page. The Formize PDF Filler app will load instantly, giving you a fully interactive, fillable version.
If you prefer to work offline, you can download the original government PDF directly. The online filler mirrors this exact document, so you won’t miss any sections.
Scroll down to find answers to the most common questions, or use the navigation links at the top of the page.
No. The Formize PDF Filler works in any modern browser, so you don’t need Adobe Reader or any additional software.
Yes. Use the "Save" button in the filler to download a partially completed PDF and reopen it later.
Absolutely. All data is processed locally in your browser and is not stored on our servers unless you choose to download the file.
Contact your health provider immediately. They can request a corrected version of the form.
Printing is optional. Some agencies still require a hard copy, but most accept the electronic PDF.
Yes. The PDF linked below is the official 2025 version published by the Australian Department of Health.
The online filler works on tablets and smartphones, though a larger screen may improve usability.
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