You need to give us medical evidence if you claim Disability Support Pension, or have a medical review.
Why we need medical evidence
We need to know how your disability or medical condition affects you. This will help us work out if you can get Disability Support Pension (DSP).
We need medical evidence from your treating health professionals. In most cases, we need evidence for each condition that affects your ability to work.
If you don’t give us medical evidence when we ask you to, we may either:
- reject your claim
- stop your payment.
If you’re having problems getting evidence, contact us. We can talk with you about options for your situation.
What types of medical evidence
We accept medical evidence such as:
- medical history records or reports
- specialist medical reports
- psychologist reports, including IQ testing
- medical imaging reports – not x-rays
- physical examination reports
- hospital or outpatient records including details of operations.
You can also give us:
- compensation and rehabilitation reports
- special school reports
- other evidence such as physiotherapy or audiology reports.
What disabilities or conditions may need specialist evidence
|Mental health conditions||We need evidence that a psychiatrist or clinical psychologist supports the diagnosis.|
|Intellectual disability||We need evidence from a psychologist which assesses intellectual function and adaptive behaviour. This should include information about 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 when claiming. It will help you work out what medical evidence you need to submit with your claim.
Submit all medical evidence with your claim so we can assess your claim faster. The evidence we need depends on your disability or medical condition. It should support what you’ve put in the medical details section of your claim.
In all cases, your medical evidence should:
- show your disability or medical conditions
- show how your condition affects you
- include the names and contact details of your treating health professionals.
Your treating health professional can use the Medical Evidence Checklist for treating health professionals form. This helps them to check your medical evidence includes relevant information about your condition.
Contact us if you’re not sure what you need to give us.
We need to confirm:
- when the symptoms started
- symptom severity, frequency and time span
- if the symptoms will persist despite treatment and use of aids, equipment or assistive technology.
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. Here are some examples.
|Your situation||What medical evidence we need|
|Have an intellectual disability||
One of these:
|Profoundly disabled and need nursing home level care||Evidence from your treating doctor with details of diagnosis, symptoms and the care you need|
|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 we need from you.
We may need to talk to your treating health professionals. They may ask us if you agree to them giving us information.
You can do this on the Consent to disclose medical information form. We'll 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: 9 April 2019