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Medical Certificate for Carer Payment (For a child under 16 years) Extension and Reclaim of Episodic Care/Extension of Short Term Care form (SA395)

This form is to be used when a carer has been granted Carer Payment (child under 16) under Short Term or Episodic Care and the period of care required will need to be extended, or, when a carer is reclaiming Episodic Carer Payment (child under 16) under Episodic Care within 24 months from the date of both a previous assessment of care requirements and a previous treating health professional report.