Registration of a Supporter Form (PDF)

If you want to access Australian Government-subsidised aged care services, you need to register with My Aged Care.

Using this form, you can request to register a supporter to help you make and communicate your aged care decisions. This includes requesting and accessing your information in My Aged Care. Registered supporters must comply with certain duties under the new Aged Care Act, including that they must declare, and avoid or manage, conflicts of interest.

Your prospective supporter will also need to agree to the registration so it’s important you speak to them about your wishes before you start this process. This form can also be used by your active, appointed decision maker (if you have one) to request to register as your supporter. Your active, appointed decision maker does not need your consent to register as your supporter.

Registered supporters must comply with certain duties under the new Aged Care Act, including that they must avoid or manage conflicts of interest.

If you need to declare a conflict of interest or have already been registered as a supporter and a conflict of interest later arises, you have a duty under the new Act to declare it.

You can make a declaration at any time in writing using Part E of this form.

To learn more about registered supporters and how they can support you, visit our Registering a supporter page. To talk to someone from My Aged Care about this form:

• Call My Aged Care on 1800 200 422 from Monday to Friday, between 8:00am and 8:00pm, and Saturday, between 10:00am and 2:00pm
• Talk face to face with an Aged Care Specialist Officer (ACSO). You can make an appointment by calling 1800 227 475 on weekdays from 8am to 8pm. You can visit the Services Australia website for more information on the latest ACSO locations.