---
title: "Advance care directive (Victoria): instructions note, completion and witnessing checklist, and decision-maker map"
url: "https://ailawframework.com/precedents/health-and-medical-law/advance-care-directive-vic-completion-and-witnessing-checklist"
type: "precedent"
site: "AI Law Framework"
id: "a32-advance-care-directive-vic-completion-and-witnessing-checklist"
area_id: "A32"
kind: "checklist"
ai_level: "red"
version: 1
law_stated_as_at: "2026-10-18"
---

# Advance care directive (Victoria): instructions note, completion and witnessing checklist, and decision-maker map

> A checklist for helping a Victorian client make an advance care directive under the Medical Treatment Planning and Decisions Act 2016: values and instructional directives, capacity, in-person witnessing, copies,…

Canonical page: https://ailawframework.com/precedents/health-and-medical-law/advance-care-directive-vic-completion-and-witnessing-checklist  
Law stated as at: 2026-10-18

Site index for agents: https://ailawframework.com/llms.txt

A checklist for helping a Victorian client make an advance care directive under the Medical Treatment Planning and Decisions Act 2016: values and instructional directives, capacity, in-person witnessing, copies, revocation and who the medical treatment decision maker will be.

## Key facts

- Kind: Checklist. Steps or checks to work through and tick off.
- Practice area: [Health & Medical Law](https://ailawframework.com/precedents/health-and-medical-law.md)
- Jurisdictions: Victoria
- AI level: Red. Keep AI out of the decisive steps. A lawyer does the work.
- Law stated as at: 2026-10-18
- Status: Maintained. Checked on 2026-10-18 against the authority it cites, for Victoria.

## When to use it

Use when a client in Victoria wants to record their values about future medical treatment or make binding instructions to consent to or refuse treatment, often alongside a will, powers of attorney or the appointment of a medical treatment decision maker.

## How AI may be used

The client's values and instructions must be in their own words, settled with their health practitioner where treatment is involved; AI may only organise the lawyer's notes and the checklist, and writes nothing that goes into the directive.

**AI may:**

- Organise the lawyer's file notes of the instructions meeting under the checklist headings
- Prepare the decision-maker map from the client's family details for the lawyer to check
- Track who holds copies and diarise a review

**AI must not:**

- Must not draft or suggest wording for the values directive or the instructional directive
- Must not assess or record a view on the client's decision-making capacity
- Must not suggest specific treatments to consent to or refuse

**The lawyer checks:**

- The client understands the difference between a values directive and a binding instructional directive, and has discussed any instructional directive with a health practitioner
- Two adult witnesses sign in person, one a registered medical practitioner, and neither is an appointed medical treatment decision maker for the client
- Any interpreter attends in person and signs the form
- The decision-maker map is correct, and any earlier medical enduring power of attorney or interstate appointment is identified

## Authorities

- [Medical Treatment Planning and Decisions Act 2016 (Vic): values directives, instructional directives, witnessing, revocation and the medical treatment decision maker, as explained by the Office of the Public Advocate (Victoria), Making an advance care directive](https://www.publicadvocate.vic.gov.au/your-rights/your-healthcare/making-an-advance-care-directive)

## Full text and drafting notes

The full text and the drafting notes are not part of this public page. Signed-in firm accounts can read them at https://ailawframework.com/precedents/health-and-medical-law/advance-care-directive-vic-completion-and-witnessing-checklist and through the signed-in MCP connector https://ailawframework.com/mcp/firm.

*Practice guidance for planning and review. Confirm current primary sources and the requirements of the actual matter. This is general information, not legal advice.*