Sample Letter For Medical Practitioner - Applying For Disability Support Pension

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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]

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