Medical evidence and assessment

Depending on your medical condition, we may require specific medical evidence to assess your eligibility for Disability Support Pension.

Medical evidence

Your medical condition must be fully diagnosed, treated and stabilised to be assessed for Disability Support Pension. You may also need to provide supporting medical evidence to help us understand how your medical condition impacts your ability to work. This can include:

  • compensation reports
  • details of any current or planned treatment from your treating health professional
  • hospital or outpatient records
  • medical history report
  • medical imaging reports
  • reports from your operations
  • physical examination report
  • rehabilitation reports
  • specialist medical reports

Permanent blindness

We require evidence from your ophthalmologist or ophthalmic surgeon to help us determine your ongoing eligibility for Disability Support Pension on the basis of permanent blindness.

Intellectual disability

We require evidence that confirms your formal IQ testing results.

If you are about to turn 16 years of age and you are a new claim customer your school may be able to help. You may provide a report from the school to support your claim if you have been in a school that:

  • provided tailored education for children with disability, or
  • had classes that were tailored to meet your individual needs

This report will need to include the latest result from IQ testing conducted by your school, your capacity for independent living and any other associated problems.

Mental health conditions

We require written evidence that your mental health condition has been diagnosed by a clinical psychologist or psychiatrist.

Hearing loss

We require evidence that your hearing loss has been diagnosed by an audiologist or an ear, nose and throat specialist.

Job Capacity Assessment

We will arrange a Job Capacity Assessment for you if you need to attend one. At your appointment, you will need to use any aids, equipment or assistive technology that you have and usually use such as hearing or visual aids.

The assessment will help us determine your medical eligibility for Disability Support Pension, whether you can work, how much work you can do and the sort of help you may need to find and keep a job.

The assessment of your capacity to work is made by an allied health or health professional, employed by us. The assessor will use the medical evidence provided with your claim or review to assess the functional impact of your medical conditions on your capacity to work. They do this using impairment tables that are set out in legislation. Everyone has a different degree of disability and a wide range of behaviours and skills so the assessment results vary according to individual circumstances.

Read more about impairment tables on the Department of Social Services website.

If you are a new claim customer they will also assess your continuing ability to work which includes whether you have participated in a Program of Support.

A Program of Support is a Commonwealth Government funded program to help you prepare for, find or maintain work.

Read more about Program of Support for Disability Support Pension.

Disability Medical Assessment

As a part of a new claim or review for Disability Support Pension, you may also be required to attend a Disability Medical Assessment.

A Disability Medical Assessment is conducted by a Government-contracted doctor and is compulsory before any claim for Disability Support Pension can be granted, excluding where you are manifestly eligible.

If you are an existing Disability Support Pension customer you may also be referred for a Disability Medical Assessment. A Disability Medical Assessment helps us review your medical evidence to determine your medical eligibility for Disability Support Pension.

If you need to attend this assessment, we will contact you to arrange your appointment.

Page last updated: 18 October 2016

This information was printed Thursday 8 December 2016 from humanservices.gov.au/customer/enablers/medical-evidence-and-assessment It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.