Evidence of Intended Medical Treatment (Includes Consultation)

What it is for

This form provides evidence, completed and signed by a registered medical practitioner, of a person's ongoing or intended medical treatment in Australia. It is submitted in support of a medical treatment visa application to confirm that treatment is planned or under way.

Who completes it

The form is completed and signed by a registered medical practitioner; it is then submitted by the visa applicant (the person undergoing treatment, or a support-person applicant to whom it is provided) with their visa application.

Information it collects (in general terms)

General categories include the identity and date of birth of the person undergoing treatment, details of the medical condition and intended treatment, the medical practice and treating practitioner's details, and the practitioner's declaration and registration information.

When it is used

Used when a person intends to apply for a subclass 602 (Medical Treatment) visa, including support-person applicants, and needs practitioner-certified evidence of the intended treatment for the application to be valid.

This site is not affiliated with the Australian Government. Forms are completed and lodged in your own ImmiAccount; this platform never submits anything to the department.