Verification of medical conditions 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the patient's details, including their family name, given names, address, postcode, date of birth, and Centrelink Reference Number.
3. In the 'Condition' section, list the main medical conditions affecting the patient's capacity to work. Provide dates of onset for each condition if known.
4. Assess each condition by ticking the appropriate box for assessment type: Temporary (1), Permanent (2), or Prognosis unclear (3).
5. Detail current symptoms for each condition and describe the treatment regime, including past, current, and planned treatments.
6. List any other medical conditions that impact the patient’s capacity to work or study.
7. Provide recommendations for assistance that could help the patient into work or maintain employment.
8. Finally, ensure that the doctor completing this form fills in their details and signs it before submission.

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