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.

Download and complete the Centrelink Medical Certificate form.

Only authorised medical practitioners may complete and sign this form.

This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please contact us. We can help you access, complete and submit them.

Page last updated: 21 September 2020