Medical evidence for Disability Support Pension

You need to submit medical evidence if you claim Disability Support Pension, or have a medical review.

Why we need medical evidence

To help us work out if you can get Disability Support Pension, we need to know how your disability or medical condition currently affects you.

To do this, we need medical evidence from your treating health professionals.  In most cases, we need evidence for each disability or medical condition that affects your ability to work.

If you don’t give us medical evidence when we ask you to, we may:

  • reject your Disability Support Pension claim, or
  • stop your Disability Support Pension payment

If you’re having problems getting medical evidence contact us. We can look at your situation and discuss your options.

Types of medical evidence

You can give us medical evidence such as:

  • medical history records or reports
  • specialist medical reports
  • psychologist reports including IQ testing
  • special school reports
  • other reports such as physiotherapy or audiology reports
  • medical imaging reports – not x-rays
  • physical examination reports
  • compensation and rehabilitation reports
  • hospital or outpatient records including details of operations

Most disabilities or medical conditions need evidence from a health professional, such as your usual treating doctor.

Disabilities or conditions that may need specialist evidence

Conditions Evidence
Mental health conditions We need evidence that a psychiatrist or clinical psychologist supports the diagnosis.

Intellectual disability

We need evidence from a psychologist who will assess intellectual function and adaptive behavior. This report should include  your IQ score or ability to undergo testing. A report from your special school may have this evidence.

Ear conditions affecting hearing or balance

We need evidence that an audiologist or an ear, nose and throat specialist supports the diagnosis.

Eye conditions affecting vision

We need evidence that an ophthalmologist or ophthalmic surgeon supports the diagnosis.

What we need to know

Use the Claim for Disability Support Pension Medical Evidence Checklist to help you work out what medical evidence you need to submit with your claim.

Submit all required medical evidence with your completed claim so we can assess your claim faster.

The evidence we need depends on your disability or medical condition and how it affects you. It should support what you’ve put in the medical details section of your claim.

In all cases, your medical evidence should:

  • show your diagnosed disability or medical condition
  • show how your disability or medical condition currently affects you
  • include the name and contact details of your doctors and specialists

Contact us to check if you’re not sure.

Symptoms

We need to confirm when the symptoms started, or the date of onset, including:

  • the severity, frequency and time span of the symptoms
  • if the symptoms will persist despite treatment and use of aids, equipment or assistive technology

Prognosis

We need to confirm how long your disability or medical condition will last and if it will:

  • improve, stay the same, or get worse
  • affect how long you’ll live

In some cases, we may not need all of this information. Here are some examples.

If you are unable to work because you These details will help us assess your eligibility
have an intellectual disability
  • Psychologist report which shows your IQ and adaptive behaviour, or
  • Special school report with the same information
are profoundly disabled and need nursing home level care Evidence from your treating doctor with details of diagnosis, symptoms and what care you need
are terminally ill Evidence from your treating doctor with details of diagnosis, stage of treatment and prognosis

Contact us if you’re not sure what evidence you need to give us.

Your consent

We may need to talk to your treating health professional about your medical evidence. They may ask us to confirm that we have your consent so they can talk to us.

You can do this on the Consent to disclose medical information form. We will show this to your treating health professional if they ask us.

You can also withdraw your consent at any time by contacting us.

Page last updated: 24 November 2017