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.

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 contact us. We can help you access, complete and submit them.

Page last updated: 30 September 2022