Request for medical information form (CS4597)

Use this form to provide proof to support a request to change a child support assessment.

Only a medical practitioner can complete this form and it is voluntary.

 

Page last updated: 5 September 2016

This information was printed Saturday 1 October 2016 from humanservices.gov.au/customer/forms/cs4597 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.