Carer Payment - Medical Report for a child under 16 years form (SA428)

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.

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.
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Page last updated: 6 December 2016

This information was printed Friday 24 March 2017 from humanservices.gov.au/customer/forms/sa428 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.