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My Future Care Plan



This plan is for you, to use to write down what you would like your friends, family/whanau, and health professionals caring for you to know.

You can add to this as often as you like, and change your decisions at any time. This is YOUR plan.

You can write down your wishes and preferences. You can share this with anyone who is involved in looking after you.

You do not have to complete this document all at once.

If you would like help completing this document please speak to someone you trust eg. your GP, health professional, family/friend.

Click here to view My Future Care Plan


Registering the completion of your Future Care Plan (FCP) is very important.

To do this simply take it along to your GP and ask them to complete the following steps on your behalf:

Instructions for GPs:

  • Scan a copy of this FCP to your Patient Management System (PMS).
  • From your PMS create an e-referral to go to Health Records Tauranga (if in the Western Bay) or Health Records Whakatane (if in the Eastern Bay).
  • Attach the FCP document and then send the e-referral.


When received by the District Health Board your FCP will be uploaded into your health record. If you come into hospital, staff will be alerted to the presence of your FCP and be able to provide care accordingly.

Should your wishes change, you can update your FCP at any time. Simply submit a new care plan and it will replace the old one.


Last updated : Thursday, August 09, 2018
Next review date : Friday, August 09,2019

Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.