Forms to help you prepare for an emergency hospital visit

Navigating the health and wellbeing of your family or the person you support can be confusing and overwhelming at this difficult time. DDWA are available to support our families and members to navigate this very important planning consideration.

These forms will help you to be prepared for if an emergency hospital admission is needed:
1. Download and complete the Health Department’s Emergency Transfer Form (link below).
2. Download and complete the additional Medical Emergency Health Information Form (developed by Microboards Australia). This is not an official Health Department document, however has successfully been in use for several years now.
3. Download and complete the Hospital Passport. This form provides a more detailed explanation of the particular needs of your family member.
4. It is important to Laminate any forms you wish to take to hospital, or seal them a plastic sleeve (a protective wipeable cover). If you do not have access to a printer or laminator, DDWA can help you. Follow these steps:
a. Complete the form by typing into form online
b. Email the form to DDWA ( We will print onto light card, laminate and post back to you. ($10.00 payment is appreciated to cover our costs).


Hospital Form – Emergency Transfer Form

Medical Emergency template developed by Microboards Australia 2020

Hospital-Passport-March 2020