Centrelink DSP Report Forms & Medical Evidence Requirements
Aug 13, 2016 14:02:18 GMT 7
Banjo, Denis-NFA, and 4 more like this
Post by murphy on Aug 13, 2016 14:02:18 GMT 7
There are quite a few different Centrelink Medical Report Forms floating around, so I've attached PDFs to this post so that you can download directly from here rather than wandering the internet.
I also wanted to put Centrelink's stated medical evidence requirements here, too, along with what the Social Security Guide says.
Key points:
* The Treating Doctor Report (TDR) is no longer used in the DSP review process, BUT you CAN ask your treating doctor(s) to complete a Centrelink DSP Medical Report (below).
* Your treating doctor can write a letter, but it is important that the letter address the things that are mentioned in the Medical Report Form: past and current treatment; whether the condition is fully diagnosed, treated and stabilised; whether the condition is likely to last for 2 years or more; what the functional impact(s) of your conditions are.
* You will have 21 days at most to collect your evidence. For this reason, you might want to consider not waiting for the review letter to come, and instead collecting evidence as soon as you are able. If your letter arrives with less than 21 days to collect evidence, contact Centrelink to ask for an extension. It's unclear whether Centrelink is granting more time in these circumstances, but it's definitely worth asking
* It's your responsibility to collect primary medical evidence -- letters from specialists, letters from GPs, X-ray reports, CT reports, MRI reports, everything you can lay your hands on that proves your condition(s), how long you have had them, that they've been treated and stabilised. Details of suitable evidence appear in the Centrelink factsheet appearing at the end of this post. Copy everything you provide to Centrelink.
Some commentators will feel there's a lot more you need to think about, but I've tried to put the bare bones here so that folk can start to feel prepared. 21 days is not long to make things happen, particularly if you are unwell, unable to get an appointment with your various treating professionals, or don't happen to have a detailed, indexed file of medical documents at hand.
Forms:
DSP Medical Report, suitable for any treating doctor to complete. 11 pages. This form was, until the present round of reviews, provided to people being reviewed.
DSP Medical Report.pdf (89.83 KB)
Treating Doctor's Report, DSP, Outside Australia. 32 pages. It's really irrelevant that this form is labelled "outside Australia." If you can get your doctor to fill this one out it provides oodles of information to Centrelink about your conditions.
TDR DSP Outside Australia.pdf (149.03 KB)
DSP Review Medical Evidence Requirements. Factsheet prepared by Centrelink. Start seeking out this stuff now.
DSP Review Medical Evidence Requirements.pdf (59.99 KB)
What the Social Security Guide says about medical evidence for DSP:
3.6.2.10 Medical & Other Evidence for DSP
Summary
Medical evidence (1.1.M.100) is required to determine whether a person meets the DSP impairment and CITW (1.1.C.330) qualification requirements. It is the person's responsibility to provide medical evidence in support of their DSP claims and payment continuations.
....
Primary medical evidence
DSP determinations are based on a range of considerations pertaining to the qualification criteria for the payment. These considerations include whether a person's condition is permanent, that is whether, in light of available evidence, the condition is fully diagnosed, fully treated and fully stabilised and more likely than not to persist for more than 2 years. Diagnosis of medical conditions for DSP purposes can only be provided by an appropriately qualified medical practitioner (exceptions are outlined below). Medical evidence should therefore contain sufficient information to enable DSP determinations to be made, including details of:
the diagnosis of the person's medical condition/s, including date of onset and whether the diagnosis is confirmed, and the details of the medical professional who made the diagnosis,
clinical features including history, current symptoms and prognosis,
past, present and future/planned treatment,
impact of condition/s on ability to function, including whether this impact is long term or temporary and whether the effect of the condition on the person's ability to function is expected to remain unchanged, improve, or deteriorate,
any impact on life expectancy as a result of the medical condition/s, and
any supporting information used by the doctor, such as x-rays, hospital records or pathology results.
Examples of medical evidence could include, but not be limited to:
medical history reports,
specialist medical reports,
medical imaging reports,
compensation reports,
physical examination reports,
hospital/outpatient records,
operative reports,
rehabilitation reports, or
details of any current or planned treatment from a treating doctor or specialist.
I also wanted to put Centrelink's stated medical evidence requirements here, too, along with what the Social Security Guide says.
Key points:
* The Treating Doctor Report (TDR) is no longer used in the DSP review process, BUT you CAN ask your treating doctor(s) to complete a Centrelink DSP Medical Report (below).
* Your treating doctor can write a letter, but it is important that the letter address the things that are mentioned in the Medical Report Form: past and current treatment; whether the condition is fully diagnosed, treated and stabilised; whether the condition is likely to last for 2 years or more; what the functional impact(s) of your conditions are.
* You will have 21 days at most to collect your evidence. For this reason, you might want to consider not waiting for the review letter to come, and instead collecting evidence as soon as you are able. If your letter arrives with less than 21 days to collect evidence, contact Centrelink to ask for an extension. It's unclear whether Centrelink is granting more time in these circumstances, but it's definitely worth asking
* It's your responsibility to collect primary medical evidence -- letters from specialists, letters from GPs, X-ray reports, CT reports, MRI reports, everything you can lay your hands on that proves your condition(s), how long you have had them, that they've been treated and stabilised. Details of suitable evidence appear in the Centrelink factsheet appearing at the end of this post. Copy everything you provide to Centrelink.
Some commentators will feel there's a lot more you need to think about, but I've tried to put the bare bones here so that folk can start to feel prepared. 21 days is not long to make things happen, particularly if you are unwell, unable to get an appointment with your various treating professionals, or don't happen to have a detailed, indexed file of medical documents at hand.
Forms:
DSP Medical Report, suitable for any treating doctor to complete. 11 pages. This form was, until the present round of reviews, provided to people being reviewed.
DSP Medical Report.pdf (89.83 KB)
Treating Doctor's Report, DSP, Outside Australia. 32 pages. It's really irrelevant that this form is labelled "outside Australia." If you can get your doctor to fill this one out it provides oodles of information to Centrelink about your conditions.
TDR DSP Outside Australia.pdf (149.03 KB)
DSP Review Medical Evidence Requirements. Factsheet prepared by Centrelink. Start seeking out this stuff now.
DSP Review Medical Evidence Requirements.pdf (59.99 KB)
What the Social Security Guide says about medical evidence for DSP:
3.6.2.10 Medical & Other Evidence for DSP
Summary
Medical evidence (1.1.M.100) is required to determine whether a person meets the DSP impairment and CITW (1.1.C.330) qualification requirements. It is the person's responsibility to provide medical evidence in support of their DSP claims and payment continuations.
....
Primary medical evidence
DSP determinations are based on a range of considerations pertaining to the qualification criteria for the payment. These considerations include whether a person's condition is permanent, that is whether, in light of available evidence, the condition is fully diagnosed, fully treated and fully stabilised and more likely than not to persist for more than 2 years. Diagnosis of medical conditions for DSP purposes can only be provided by an appropriately qualified medical practitioner (exceptions are outlined below). Medical evidence should therefore contain sufficient information to enable DSP determinations to be made, including details of:
the diagnosis of the person's medical condition/s, including date of onset and whether the diagnosis is confirmed, and the details of the medical professional who made the diagnosis,
clinical features including history, current symptoms and prognosis,
past, present and future/planned treatment,
impact of condition/s on ability to function, including whether this impact is long term or temporary and whether the effect of the condition on the person's ability to function is expected to remain unchanged, improve, or deteriorate,
any impact on life expectancy as a result of the medical condition/s, and
any supporting information used by the doctor, such as x-rays, hospital records or pathology results.
Examples of medical evidence could include, but not be limited to:
medical history reports,
specialist medical reports,
medical imaging reports,
compensation reports,
physical examination reports,
hospital/outpatient records,
operative reports,
rehabilitation reports, or
details of any current or planned treatment from a treating doctor or specialist.
