Transport and Main Roads corporate forms
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F4842 - Health Professional Medical Condition Notification
Online services available
You may be able to report a patient's medical condition online instead of using this form.
This form can be signed digitally
To sign the form digitally:
- download the file to your computer or mobile (you won't have the option to sign the form if you open it in your web browser)
- open the file in Adobe Reader. You can use the free version of Adobe Reader—no purchase or software subscription is required
- fill in the form, sign it and save it once you’re finished.
- Form number:
- F4842
- Title:
- Health Professional Medical Condition Notification
- Version:
- Aug 2021
- Form size:
- 728 kb
- Document information
- Forms must be printed on white A4 size paper.