How to Complete SASSA Medical Assessment Referral Form with Authority

Completing the SASSA Medical Assessment Referral Form may initially seem overwhelming, but with the right guidance, you can tackle it confidently. This guide aims to empower you with clear, step-by-step instructions to ensure accurate completion of the form. 

Whether you’re a beneficiary needing medical assistance or assisting someone else, understanding this form is key to accessing the care and support you require. Let’s work through it together to make the process smoother and easier to understand.

You can down load your Medical Assessment form here.

Medical Assessment Referral Form Part A – Your Primary Information

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.

Completing the SASSA Medical Assessment Referral Form with authority is a significant step towards accessing the necessary medical support and assistance. 

While the process may seem daunting at first, this guide has provided you with clear and detailed instructions to navigate each section confidently. 

By following these steps, you can ensure that all information provided is accurate and reliable for your assessment. Remember, understanding and completing this form accurately is essential for accessing the care and support you need.