Participant Money and Property Consent Form

Participant Name *

Date of birth *

Voluntary consent : A person must be free to exercise genuine choice about whether to give or withhold consent. This means you haven’t been pressured or coerced into a decision, and you have all the information needed in a format that you understand. Voluntary consent requires that you are not affected by medications, other drugs or alcohol when making the decision.

Informed consent : A person’s capacity to make decisions will vary depending on the type of decision or its complexity, or how the person is feeling on the day. The way information is provided to you will also affect your capacity to make decisions. Choices have been offered in a way that the person understands, for example, by using images or signing. Support, where required, must be provided for the person to communicate their consent.

Current consent: Consent cannot be assumed to remain the same indefinitely, or as the person’s circumstances change. People and guardians are entitled to change their minds and revoke consent at a later time.

I have had input and agree to the money handling details as to my best interest and as per below details.

*

I understand that a monthly account will be forwarded with receipts, invoices and relevant payments.

*

I understand that I can withdraw this consent at any time.

*

I understand that no financial assistance will be given unless listed in support plan.

*

If my/our circumstances change I agree to notify Strength In Care as soon as practicable.

Note: Where a participant does not have the capacity to give informed consent and does not have a legal guardian who has the authority to make decisions on behalf of the participant, the participant’s parent, family member or other person with a close personal relationship to the participant may sign this form. The person who signs on the participant’s behalf must print their relationship to the participant next to their name.

Name *

Relationship (if applicable)

Signature *

Draw signature|Type signatureClear

Date *