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.

A health professional currently treating the child must complete this form.

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

In some circumstances, we may use information you’ve already given us. This means you may not need to provide a new medical report.

The easiest way to claim Carer Payment, Carer Allowance or both is online. Read more about claiming Carer Payment or Carer Allowance.

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: 21 June 2017

This information was printed Saturday 22 July 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.