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Notes on filling the Centrelink Medical Certificate Su415 Form

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Centrelink Medical Certificate Su415 Form : Draft, Finish and forward

[Applause].let's take a look at the application for.medical certificate form cg 719.k here it is up on the screen.and we're going to start going through.this so if you start scrolling down.immediately the end of the first page.you'll notice.even though it's instructions the.medical practitioner right here.they need to initial and date and you.need to print.your last name comma first name comma.middle initial.and include your date of birth.make sure it's not the date this is just.your date of birth this form in.particular.has a lot of places to mess up and.it is the most commonly messed up form i.mean this.it's the form that will most commonly.stop your application from going through.so here on the first page medical.practitioner initials and date and you.last first middle and birth date and.then we keep going down through these.instructions further.and at the end you got the medical.practitioner initials.date your last first middle initial.and then your date of birth and now we.start getting to where you.fill the form out so we have your last.name here.again your first name your middle.initial.and then a suffix junior senior third.second third whatever you are here and.now your.mirror reference number or social.security number.so if you if this is original license.you will use your social security number.if this is if you're modifying or.upgrading.or increasing the scope of your license.you will have been.issued a mariner reference number and.you can put that here.and then your gender male or.female or other.date of birth and now your home address.right here so your street address city.state.zip and then primary phone number and.alternate phone number and then you have.delivery or.mailing address street city state.zip email address and other then all.these little check.boxes around here that i'm checking.right now you.check the ones that are the best way to.get a hold of you.so if the best way to get a hold of you.is your primary phone number.your email address and then your.shipping address.you check these boxes and whatever.combination you need here.and now this is a question i get often.which one of these boxes do i check.so if you're going for an oupv or.masters license.you are going to be dec this top left.box deck.and you can also check food handler.and then down here section two food.handler certification if your.practitioner checks this box that yes.the applicant is free of communicable.diseases.and then initial and date you will.automatically get a food handler.added to your license which is just.pretty self-explanatory it means you can.handle food if for some reason you just.do not want a food handler.you can just don't check this and.and you you still might get it i don't.know my license.got a food handler and i never mentioned.anything so that's sections.one and two of this form.if we keep cruising down we get.again here applicant last first middle.initial.date of birth here and here all the.medical conditions.check yes or no and then your medical.practitioner initial.date and then we keep cruising down and.again on every form it's going to be.your last first middle and then your.date of birth.so here is conditions and treatments and.this is all going to be filled out for.your medical practitioner so we don't.need.to focus on it too much and again bottom.medical practitioner.initials date and then next page your.last first middle and then date of birth.i know it's very uh redundant.but it's must be filled in and you see.all these little check boxes like this.one.when these every check box needs to be.dealt with by the practitioner so he's.going to go through do that.and then down here all your medications.dose frequency condition.and now you get into the physical.examination.so you got height weight pulse blood.pressure body mass index.and your medical practitioner is going.to do this.and then initial date on to the next.page.page seven you are going to last name.first name middle again and then your.date of birth.and goes through here and we have your.visual acuity your field of vision so.all this vision stuff they're going to.do a color blind test if you are color.blind.you can um you know if you're colorblind.and your practitioner.states that and it's on this form you.can get restrictions for daytime.use but you can still get a license if.you're colorblind.see down here color vision.testing results pass failed number of.errors.we keep going this is through hearing.now at the bottom of the four medical.practitioner initial and date.top of the next page your last first.middle.and your date of birth and this is.demonstration of physical abilities.they're going to make sure you can use.all your fingers and push.and pull and do things like that things.that.you'd have to do aboard border ship and.then physical.ability results they need to check one.this one.yep they found you're good to go this.side they found you are not good to go.you need to have this one checked.comments medical practitioner initials.date again on the top of the next page.your last first middle initial date of.birth.and now here's the checkbox.applicant proof of identity provided so.you want to prove that and then.this one's really important here too.certification.of recommendation your medical.practitioner needs to.recommend you if you're not recommended.this is going to get kicked back.and then this is a place for the.practitioner to discuss.and here's the practitioners information.their last first middle signature date.license number state phone number.and whatever they are maybe they're all.of these.um good so office street address.city state zip place office address.stamp here a lot of them will have just.a stamp and they'll stamp it on there.and give you some information.and now section 10 application.certification to be completed by.applicant so you're attesting to this.my signature below attests to all this.stuff so you'll sign.date then you keep cruising down and now.we're to.section 11 so here again last.first middle and then your date of birth.and now this part was interesting i just.got off the phone call.the phone with the coast guard and they.shed some light on a lot of this for me.section 11 optional applicant consent.see this box here you can decline.and then sign and date and then she said.that you can just.not sign these two bottom ones or cross.them off or whatever you want.so what this is saying consent for.medical practitioner to release.information to the coast guard.if you decline this your practitioner.cannot release information to the coast.guard.the coast guard will contact you and you.contact your medical provider.or if the coast guard contacted your.medical provider your provider would.contact.you and then you would contact the coast.guard but this is.just stating that if you decline this.which is okay and your application will.still go.through that means that the coast guard.can't reach out to your medical.practitioner.and regardless if you decline or do not.decline you need to sign.and date right here most people.accept part a.but don't need part b or.c because part b is consent for coast.guard to release information to a third.party so.the scenario where you'd fill all these.out and accept them.is if you're using a third party to.submit your application and your medical.application.if you're using say chuck cousco which.is probably the most popular option.at ck's licensing he would you'd fill.this information.out and give him the right to do.everything.but in most cases here if you're.submitting it yourself.you can either decline this and then.sign and date or not decline this.sign and date and then leave b and c.empty or you could put a line through.them is what the coast guard said.that about wraps up this form.be sure to go through this form.carefully and everywhere you need to put.your.your last first and middle like this.make sure.all these boxes are checked this is a.good one to take some time on.you.

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Centrelink Medical Certificate Su415 Form FAQs

Note answers to listed questions about Centrelink Medical Certificate Su415 Form . View the most useful topics and more.

Need help? Contact support

Where can I get the form for migration certificate?

If you are under CBSE board then go to CBSE regional office near you and ask for migration form and fill it then submit to cash counter (Less then 500rs). Same thing with Others

How do I send documents to Centrelink?

How do I send documents to HR? You did not say if you are an employee in a company which has an HR department or if you are not an employee of the company. If you work for the company, certainly it must have an interoffice document transmittal system you can use to send the documents to HR. Or why can you not bring them to HR directly. If you don’t work for the company, you can mail, FedEx, UPS or DHL the documents to HR. If you live reasonably close to the company, you can hand-deliver the documents to the company office and ask the receptionist to bring them to HR.

What does temporary exacerbation mean?

It means something that happens to make your depression worse. It could be many different things like losing a beloved pet or a falling out with a family member or friend. Just a couple of examples.

How do I upload documents to child support?

Every programmer has his own list of tools and resources he uses for everyday work. But sometimes we find that our lists are quite similar to the lists of the others. It might be explained by a series of reasons: the level of spread, quality, popularity within the community and so on. Today we decided to share with you the results of Syndicode’s small research about the most used Ruby on Rails gems for all the time.

What is a SA332a form?

A2A - Ask to answer. Quora feature that allows you to ask people and experts questions regarding what they know. OP - Original poster. The person who asked the question or posted the quesion. TL;DR - Too long; didn't read. Said whenever a nerd makes a post that is too long to bother reading. (In Quora, TL;DR is usually used by an author to introduce a short summation of a longer piece. I should thank Edward for pointing that out). DP - Display picture. Not used so often here unlike Facebook this is your profile picture or the picture of you one sees on your profile.These are the ones you will c Continue Reading

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