Template letter for medical practitioner
[Date]
Dear Dr [Name],
I am applying for a Disability Support Pension.
To be qualified for a Disability Support Pension, I must:
•
Have a physical, intellectual or psychiatric condition that has a rating of at least 20 points
under the Social Security Impairment Tables; and
•
Be fully diagnosed, treated and stabilised, and my condition must be unlikely to significantly
improve, with or without reasonable treatment, within the next two years;
and
•
Be prevented, because of my impairment, from working more than 15 hours per week for
the next two years; and
•
Be prevented, because of my impairment, from undertaking a training activity that would equip
me to work 15 hours per week within two years, independently of a program of support.
Unless I score 20 points under a single Impairment Table, I will be required to go onto Newstart
Allowance and try to find work or participate in a training activity with the help of a program
of support for a reasonable period.
It would be helpful if you could write a brief letter that addresses my situation in relation to the
above criteria, including:
How many points, in your opinion, I should receive according to the Impairment Table(s).
•
Whether my condition has been fully diagnosed. Please specify what treatment you are giving
me for each of my conditions.
•
Whether the treatment I am currently receiving, or any treatments reasonably available to me,
are likely or unlikely to make a significant difference to my condition to the point that I could
work for15 hours a week or more within the next two years.
•
Whether you think my condition is likely to get better, stay the same or get worse in the next
two years (including with the treatments I am currently receiving or likely to receive).
•
Whether you think I am unable to do any type of work for 15 hours a week or more over the
next two years.
•
Whether you think my medical condition means that my participation in a program of support
program is likely or not likely to improve my capacity to find, get or stay in work.
Please address the letter “To Whom It May Concern” as I will likely be forwarding this letter
to Centrelink and / or the Administrative Appeals Tribunal.
My only income is a Centrelink benefit. Can you please bulk bill this consultation and any other
work done on my behalf.
Yours faithfully,
[Your signature]
[Your name]
[Your address]