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If the patient’s has an application reference, click here for more information.

Please note you will not know the result of the Functional Assessment in the consultation. The result will be mailed out to the patient.


To start, select the General practitioners and occupational therapists option in the landing page


Click Start application


Click Start


Before completing the Functional Assessment, you will need to authenticate your AHPRA details.

Enter the following details:

  • AHPRA number
  • Family name
  • Date of birth
  • Click Authenticate

Then click Authenticate

If you are unable to authenticate your AHPRA registration details, check your registration details by clicking the link

Or download a paper version of the medical assessment form. For more information about the paper form please click here


Read the User Obligations and the Terms & Conditions before clicking the authorisation/agreement tick box.

Then Click Next


If the patient does not have an application reference, or if you are unable to retrieve the pre-existing application, you will need to start a new application.

Select No, I need to start a new application

Then click Next


Make sure your patient understands the User Obligations and the Terms & Conditions before clicking the authorisation/agreement tick box.

Then Click Next


Enter the patient personal details Answer all questions unless marked.

  • First name
  • Middle name (optional)
  • Family name
  • Date of birth
  • Sex
  • Email address (optional)
  • Mobile number (This is where your application reference will be sent to. You’ll need this for your Medical Practitioner appointment)

Click Next


Enter the patient’s home address in the Street address field. Then select a match from the drop-down list

Click Next

Please note the address you enter must be in the state of Victoria and cannot be a P.O. box.

Click here for more information if the patient only has a P.O Box

If the address doesn’t appear in the drop-down list, select No, I will enter address in manually

Manually enter your address, as well as Suburb and Postcode

Click Next


Select how the patient would the to receive their outcome?

  • Send to their home address
  • Patient will collect from local council

Click Next

If the patient’s residential address is near the border of two or more councils, select the correct council from the drop-down list and click Next


Does the patient require a carer? If not, select The patient does not require a carer

Then click Next

If the patient requires a carer select The patient requires a carer, or is a minor

Answer the following questions

  • Nominated representative first name

  • Nominated representative family name

  • Relationship to the applicant:
    - Carer of support provider
    - Family member or partner
    - Friend
    - Other

  • Nominated representative email address (optional)

  • Nominated representative mobile number

Then click Next

N.B. The patient’s council may contact the carer if they need to follow up about this application.


After recalling the patient’s application verify the patient’s identity by either selecting:

  • I know the applicant, they are a regular patient
  • I have verified the identity of the patient

Click Next


Enter the following contact details:

  • Practice name
  • Practice phone number
  • Practice email address
  • Practice email address (optional)


Click Continue to assessment

You can now begin the functional assessment for the patient. For more information click here.

If you have selected either Driver or Both Driver and passenger in the Functional Assessment, you will see the following information.

Please note, all drivers are required by law to notify VicRoads if they have a long-term health/medical condition, disability or are undergoing treatment (e.g. taking medication) that could affect their ability to drive safely.


Review all previously entered answers (if any answers are incorrect click Back to make any necessary changes)

Read the declaration before clicking the tick box.

Click Submit to council

You have now completed the functional assessment which has now been submitted to patient’s local council

The council will advise the patient of the outcome in approximately 10 to 15 days.

The patient can check on their application's progress by contacting their council and quoting their application reference.

To create a copy of this application for your records click Keep a copy

Click either

  • Print
  • Copy to clipboard
  • Save as PDF (feature coming soon)

Follow your standard process to select your printer to print the document.

Follow your standard process to paste the clipboard into other applications (e.g. Word, local databases etc)


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