Centrelink Medical Certificate form (SU415)
Use this form if you’re a medical practitioner and your patient can’t meet their requirements because they are temporarily incapacitated due to a medical condition.
Only authorised medical practitioners may complete and sign this form.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.
If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.
Page last updated: 18 June 2019