Use this form to confirm that you consent to your treating health providers disclosing relevant information about your disability or medical conditions to us.
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 Consent to disclose medical information form.
This form is used to support your claim for Disability Support Pension form.
This information was printed 5 April 2026 from https://www.servicesaustralia.gov.au/sa472. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/site-notices when using this material.