MEDICAL EVIDENCE FORM - curtin au Preview on Page 1

MEDICAL EVIDENCE FORM - curtin au 2026

The document is a Medical Evidence Form intended for applicants seeking Special Consideration for admission to Curtin University. It must be completed by a qualified health professional and submitted alongside the Special Consideration Application Form. The form requires details about the applicant's medical condition, its severity, and its impact on their ability to study prior to university entrance examinations. It also includes sections for declarations from both the medical practitioner and the applicant.

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Click ‘Get Form’ to open the MEDICAL EVIDENCE FORM in the editor.
Begin by entering your Medical Practitioner or Health Professional's details, including their name, address, and contact information. This ensures that all necessary information is readily available.
Instruct your medical professional to certify the examination of the applicant by filling in their name and date of birth. They should also indicate the dates of consultation.
The medical practitioner must provide a detailed medical diagnosis. Encourage them to include relevant information regarding the severity of the condition and its impact on the applicant’s ability to study.
Next, they should indicate the date of onset of the condition and select the severity level (Mild, Moderate, Severe, Chronic/Ongoing) that best describes the situation.
Finally, ensure that your medical practitioner signs and dates the form before submission. If circumstances prevent completion, provide a statement in the designated section.

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What does proof of medical evidence mean?

Laboratory Test Results. Objective medical testing provides concrete evidence of your condition and can be crucial for proving disability. Depending on your condition, important tests might include: Blood work showing inflammatory markers or other abnormalities. Imaging such as X-rays, MRIs, or CT scans.

How to obtain medical evidence?

Getting new medical evidence Some doctors might charge you for a letter or new report. If you cant afford to pay its worth asking for copies of recent medical notes or letters from any specialists theyve referred you to - they usually have to give you copies for free.