Carer Payment - Medical Report including functional assessment for a child under 16 years form (SA427)

Use this form as part of the assessment of eligibility for Carer Payment.

This form must be completed by a health professional currently treating the child.

A medical report itself is not a claim for Carer Payment or Carer Allowance.

In some circumstances, previously supplied information may be used again so you may not need to provide a new medical report.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.
If you use assistive technology because of a disability or impairment we provide help for assistive technology users of forms.

Page last updated: 10 May 2017

This information was printed Thursday 25 May 2017 from humanservices.gov.au/customer/forms/sa427 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.