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 to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.

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