Get Medical Assessment Form

This guide provides comprehensive instructions on how to successfully complete the Medical Assessment Form online. Follow these steps to ensure that your submission is accurate and complete.

Follow the steps to fill out the form effectively.

1. Click ‘Get Form’ button to obtain the Medical Assessment Form and open it in your preferred editor.
2. Begin by entering your personal information in the designated fields. This includes your name, DVA client number, address, phone number, and date of birth.
3. Authorize a doctor to release your medical information by filling in the doctor's name, providing your signature, and the date of signing.
4. Answer all questions presented in the form regarding your independence in self-care, mobility, and ability to cope with air travel. Be sure to provide 'Yes' or 'No' responses as appropriate.
5. If any answers to questions 1-5 are 'No', provide further details in the space allocated below these questions.
6. Proceed to questions 6-16 regarding any medical history. Mark 'Yes' or 'No' as applicable for each condition and provide additional details if necessary.
7. Document current health observations, medications, and any recent hospital admissions in the sections provided.
8. Ensure a Local Medical Officer (LMO) or General Practitioner (GP) completes their assessment, ticking the appropriate fitness status options and providing their details.
9. Review the form for completeness and accuracy.
10. Once completed, save your changes and prepare to submit the form electronically by scanning and emailing it, faxing, or mailing it as instructed in the guidelines.

Now that you have the necessary information, fill out your Medical Assessment Form online to ensure timely processing.