Use this form as part of the assessment of eligibility for Carer Payment, Carer Allowance or Special Disability Trust beneficiary status.
A health professional currently treating the person 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.
If you use assistive technology because of a disability or impairment we provide help for assistive technology users of forms.