Veterans' Affairs

Veterans’ Affairs Referrals

Referring a veteran requires a D904 form or a letter of referral on letterhead which includes the following: 1

  • Name and DVA file number of the entitled person
  • The treatment entitlement of the person, i.e. Gold Card or White Card
  • If the entitled person is resident in a Residential Aged Care Facility (RACF), the level of care that they are funded to receive and the date the funding began
  • Provider number of the referring health care provider
  • Date of the referral
  • Condition to be treated

These referrals are only valid for twelve months.

White Card holders may only be referred for the following conditions: 2

  • An ‘accepted’ disability, i.e. an injury or disease accepted by DVA as caused by war or service
  • Malignant cancer (neoplasia)
  • Pulmonary tuberculosis
  • Posttraumatic stress disorder (PTSD)
  • Anxiety and/or depression
  • Symptoms of unidentifiable conditions that arise within 15 years of service (other than peacetime service).

Special conditions apply to Allied Veterans

Indefinite Referrals:

Patients with chronic conditions which require ongoing treatment do not need a new referral every twelve months. These patients should discuss their treatment needs with their Medical Practitioner, with a view to obtaining an indefinite referral for the ongoing treatment of their chronic condition. Indefinite referrals must only be used where the entitled person’s clinical condition is chronic and requires continuing care and management. 3

Should a Medical Practitioner wish to make an indefinite referral they should clearly state on the referral that it is an indefinite referral for a chronic condition. Providers need to notify Department of Human Services (DHS) - also known as Medicare Australia - of an indefinite referral. Only the Medical Practitioner can determine if an indefinite referral is appropriate for the patient. 4

References:

1. http://www.dva.gov.au/sites/default/files/files/providers/alliedhealth/notes_for_AHPs-sec1.pdf, page 5 subsection 26
2. http://www.dva.gov.au/sites/default/files/files/providers/alliedhealth/notes_for_AHPs-sec1.pdf, pages 3 – 4 subsection 13
3. http://www.dva.gov.au/sites/default/files/files/providers/alliedhealth/notes_for_AHPs-sec1.pdf, page 5 subsection 27
4. http://www.dva.gov.au/sites/default/files/files/providers/alliedhealth/notes_for_AHPs-sec1.pdf, page 5 subsection 28