Carer Payment and Carer Allowance – Medical Report (SA431) for a child under 16 years Completed Form Examples and Samples

Find clear examples and samples of a completed Carer Payment and Carer Allowance – Medical Report (SA431) for a child under 16. Our guide helps carers and doctors correctly fill out the form for Centrelink.
Carer Payment and Carer Allowance – Medical Report (SA431) for a child under 16 years has a basic Form Complexity Index of 41/100 — Instafill’s AI completes it in under a minute.
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Example of a completed Carer Payment and Carer Allowance Medical Report (SA431) for a child under 16 years with Autism Spectrum Disorder.

Carer Payment & Allowance Medical Report (SA431) Example for a Child

How this form was filled:

This is an example of a completed SA431 Medical Report for a young child with Autism Spectrum Disorder (Level 3) and Global Developmental Delay. The form is filled out by the child's Paediatrician, detailing the diagnoses, functional impact, and justification for constant care, which are crucial for assessing eligibility for Carer Payment and Carer Allowance.

Information used to fill out the document:

  • Child's Name: Liam Smith
  • Child's Date of Birth: 15 June 2020
  • Carer's Name: Olivia Smith
  • Health Professional: Dr. Eleanor Vance
  • Professional Title: Paediatrician
  • Provider Number: 123456AB
  • Practice Address: 456 Children's Way, Meditown, NSW 2000
  • Date of Assessment: 28 October 2026
  • Primary Medical Condition: Autism Spectrum Disorder (Level 3 - Requiring very substantial support)
  • Secondary Medical Condition: Global Developmental Delay
  • Date of Diagnosis: ASD diagnosed March 2024; GDD diagnosed July 2023
  • Functional Impact: Non-verbal, requires assistance with all personal care (feeding, dressing, toileting), significant sensory sensitivities, requires 24/7 supervision due to no safety awareness.
  • Prognosis: The conditions are permanent and lifelong.
  • Treatments: Ongoing Speech Therapy, Occupational Therapy, and regular Paediatric reviews.

What this filled form sample shows:

  • Clearly identifies the child's severe and multiple disabilities as diagnosed by a specialist.
  • Provides a detailed narrative explaining the child's functional capacity and the need for constant care.
  • Correctly completed Health Professional section with a valid provider number and recent date of examination.
  • Establishes the permanency of the conditions and the long-term nature of the care required, a key factor for eligibility.

Form specifications and details:

Form Name: Carer Payment and Carer Allowance – Medical Report (SA431)
Use Case: Child under 16 years with severe developmental disabilities requiring constant care.
Government Agency: Services Australia
Purpose: To provide medical evidence for a Carer Payment and/or Carer Allowance claim.
Categories: CAR forms, carer forms, child care forms, Medi-Cal forms, medical forms, medical report forms, payment forms, L.A. Care forms, VA medical forms
Created: February 05, 2026 09:03 PM
Example of a completed Carer Payment and Carer Allowance Medical Report (SA431) for a child under 16 years with Autism Spectrum Disorder.