Request for medical information form (CS4597)

Use this form to provide proof to support a request to change a child support assessment.

You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology or need an interpreter.

Download and complete the Request for medical information form.

Only a medical practitioner can complete this form and it is voluntary.

Page last updated: 30 May 2024.
QC 19876