download and complete the Carer Payment - Medical Report including functional assessment for a child under 16 years form.
A health professional currently treating the child must complete this form.
A medical report itself is not a claim for Carer Payment or Carer Allowance.
In some circumstances, we may use information you’ve already given us. This means you may not need to provide a new medical report.
The easiest way to claim Carer Payment, Carer Allowance or both is online. Read more about claiming Carer Payment or Carer Allowance.
To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the form.
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 use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.