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Occupational Therapist Form

Consent to Disclose Medical Information (SA472.2412)

A downloadable Occupational Therapist form for healthcare professionals.
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About this form

Used to confirm a patient’s consent for their treating health professionals to share relevant medical information with Services Australia or Centrelink assessors when assessing eligibility for the Disability Support Pension or employment services. The form authorises the release of medical reports, clinical notes, and other relevant health details to support claims or reviews. Heidi automatically fills in patient and provider details based on the consultation, making it simple to generate an accurate consent form while maintaining compliance with privacy and disclosure requirements.

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How to use this form

1

Download the PDF

Click the download button to save the form to your device

2

Print or fill digitally

Print the form for handwritten use or fill it out using a PDF editor

3

Use in your practice

Integrate the completed form into your patient records and workflows

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Specialty

Occupational Therapist

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14 times

Type

Form

Last edited

13.11.2025

Created by

Matilda O’Connor

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