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.

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 Centrelink Medical Certificate form.

Only authorised medical practitioners may complete and sign this form.

You can also complete a Centrelink Medical Certificate using Health Professional Online Services (HPOS). This helps us assess your patients request faster.

Page last updated: 1 January 2025.
QC 51145