Open Care Connect - Authority to Act as Advocate

Advocate Authority

Controlled document workflow

A participant wants OCC to recognise a nominated advocate.
The scope of authority needs to be explicit and limited.
OCC needs a signed fileable authority in the participant record.

Authority to Act as an Advocate

PT-ATA-001 | V1.1 | NDIS Practice Standards 1.2 | Privacy Act 1988 (Cth)

This form authorises a nominated person to act as an advocate for a participant in specified circumstances. This authority does not grant power of attorney or legal guardianship, and it does not replace the participant's right to make their own decisions.

OCC will only accept advocacy in the areas selected in this form unless the authority is updated. The participant may withdraw the authority at any time by notifying OCC in writing.

A - Participant Details

Full Name of Participant

Date of Birth

Participant Code

NDIS Number

Address

Phone

B - Nominated Advocate

Full Name of Advocate

Relationship to Participant

Advocate Phone

Advocate Email

Advocate Address

Is the advocate a formal disability advocate from an organisation?

Yes No

Organisation

Does the advocate have any conflict of interest with OCC or this participant?

Yes No

If yes, describe

C - Scope of Advocacy Authority

This authority applies only to the situations selected below. OCC will always first seek to understand the participant's own view before acting on the advocate's instructions.

Attending meetings or reviews with OCC on behalf of or alongside the participant Making and receiving communications with OCC on the participant's behalf Reviewing the participant's support plan and providing input Raising concerns, feedback, or complaints with OCC or external bodies Attending medical or health appointments with or on behalf of the participant Communicating with the NDIS Commission or other regulatory bodies Making day-to-day decisions about support scheduling and preferences Accessing the participant's OCC records and documentation Other

Other specified authority

Specific matters excluded from this authority

D - Limitations and Conditions

Condition	Confirmed
This authority does not give the advocate the right to override the participant's own expressed wishes or decisions.
OCC will always first seek to understand the participant's own view before acting on the advocate's instructions.
If OCC believes the advocate is acting contrary to the participant's best interests, OCC may seek further guidance or refuse to act on advocacy.
This authority expires on the date below or when withdrawn by the participant, whichever is earlier.
OCC may suspend recognition of this authority pending investigation if a safeguarding concern arises.

This authority is effective from

This authority expires on

Leave blank if ongoing until revoked

E - Consent and Signatures

By signing below, the participant confirms they freely and voluntarily authorise the nominated person to act as their advocate in the areas specified. The advocate confirms they accept this authority and understand their obligations.

Participant Signature

Signature Date

Nominated Advocate Signature

Signature Date

OCC Witness Signature

Signature Date

Has the participant been given a copy of this signed form?

Yes No

If no, reason

Where is the original filed?