Request for Ophthalmologist or Optometrist Report form (SA013)

Use this form if you are claiming Age Pension or Disability Support Pension on the basis of permanent blindness.

This form must be completed by the Ophthalmologist or Optometrist.

If you use assistive technology because of a disability or impairment we provide help for assistive technology users of forms.

Page last updated: 14 September 2016

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