How to Complete Filling SASSA Medical Assessment Referral Form Check out Steps on How to Complete Filling Important needed information on SASSA Medical Assessment Referral Form.
What is SASSA Medical Assessment Referral Form
A referral form is an online form used to request referrals and provides the personal and contact information of both the referral and the referee.
A referral form should include the name and contact information of the person making the referral, the name and contact information of the person or business being referred, and any relevant details about the referral.
How to Complete SASSA Medical Assessment Referral Form
Download SASSA Medical Assessment Referral Form here.
Let’s start with Part A of the Medical Assessment Referral Form, where we’ll gather some essential information about the client. Here’s what you need to do:
Personal Details: Write down your identity number, surname, and full name in the spaces provided.
Gender: Check the appropriate box to indicate your gender, whether it’s Male or Female.
Form of Identification: Specify the type of identification you are using, such as your ID document or any other form. If it’s something other than the usual ID, make sure to mention it and provide details.
Reason for Completing the Form: If you’re not the client’s regular healthcare provider or institution, explain why you’re filling out the form. It could be due to an obvious disability or any other reason. Just give a brief explanation to clarify.
Medical Assessment Referral Form Part B – Your Medical History
Now, let’s move on to Part B of the Medical Assessment Referral Form, where we’ll focus on the client’s medical history. Here’s what you need to do:
Confirm Client’s Details: Double-check and confirm your name and ID number to ensure accuracy.
Medical History: Provide details about your medical background, including your current symptoms, diagnosis, and any complications you may be experiencing.
Treatment Compliance and Substance Abuse: Indicate whether you are following your treatment plan and if you abuse illegal substances by checking the appropriate boxes for Yes or No.
Changes in Medical Condition: Describe any changes in your medical condition over the past three months. Whether it has improved, stabilized, or worsened, provide some insight into these changes.
Impact on Labour Market: Explain whether your medical condition is affecting your ability to meet the demands of the job market. Share any specific challenges or limitations you may be facing due to your health condition.
Medical Assessment Referral Form Part C – Declaration
Now, we’re onto the final part of the Medical Assessment Referral Form, Part C – Declaration. Here’s what you need to do:
Read and Acknowledge: Take a moment to carefully read and understand the declaration. By signing the form, you’re confirming that all the information provided is true and accurate to the best of your knowledge. It’s essential to be honest and transparent.
Sign the Form: Once you’ve read the declaration, sign the form with your full names. This signature serves as your agreement to the declaration.
Official Stamp: If you’re completing the form on behalf of a treating facility or as a doctor, don’t forget to affix the official stamp of the facility or your own stamp.
Date: Fill in the date in the specified format of day/month/year.
