Apply for the Thermoregulatory Dysfunction Energy Subsidy

Fact sheet
Financial assistance for persons with thermoregulatory dysfunction, or their dependants, to offset energy costs for controlling the temperature in their home.
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The thermoregulatory dysfunction energy subsidy assists eligible persons, or their dependants, who experience thermoregulatory dysfunction to offset the energy costs associated with controlling the temperature in their home under medical advice. 

Thermoregulatory dysfunction is defined as significant loss of a person’s capacity to control body temperature and is associated with medical conditions that result in the person’s health and bodily function being seriously affected when exposed to extremes of environmental temperatures. 

The subsidy of $790 is paid annually in advance directly into a nominated bank account. 

Up to two payments per household can be made each year if two or more eligible persons live in the same household.

Change of bank details

Complete the change of bank details form to update the account nominated for receiving the subsidy. 

If the nominated bank account details provided are incorrect resulting in payment to an incorrect account, RevenueWA will attempt to recover the funds. If recovery is unsuccessful, you will not be entitled to a duplicate payment.

Change of address

You must keep your postal, email and residential address up to date to ensure you receive notifications about the subsidy, including annual renewal letters. 

Contact us to update your details.


To apply, you must:

  • be either the patient who requires heating and/or cooling for your own use, or be the guardian or primary caregiver of the patient who lives in the same household as you, and
  • hold one of the following means-tested concession cards:
    • Pensioner Concession Card or
    • Health Care Card (not including the Commonwealth Seniors Health Card) or
    • Health Care Interim Voucher.

Qualifying conditions

The patient must meet at least two of these three qualifying conditions and be certified by a doctor or specialist who has been treating them for at least three months. A patient who only meets one of the qualifying conditions is not eligible for the scheme.

  1. A medical condition with an evidence-based association of deterioration in temperature extremes. For example, severe cases of spinal cord injury, stroke, brain injury, neurodegenerative disorders, multiple sclerosis and familial dysautonomia.
  2. Loss of skin integrity or loss of sweating capacity. For example, significant burns to greater than 20 per cent of body surface area, severe inflammatory skin conditions and some rare forms of disordered sweating.
  3. Objective reduction of autonomic regulation and physiological functioning at extremes of environmental temperatures (excessive sweating, heart rate increases or changes in blood pressure) resulting in dehydration, dizziness or fainting.
Ineligible conditions

The following conditions are not eligible under this scheme even though there may be some discomfort or symptoms experienced when exposed to extremes of temperature:

  • arthritis 
  • attention deficit hyperactive disorder (ADHD)
  • autism
  • chronic pain
  • chronic fatigue
  • fibromyalgia
  • postural orthostatic tachycardia syndrome (POTS)
  • psychiatric conditions such as post-traumatic stress disorder, anxiety, depression, and obsessive-compulsive disorder.

How to apply

It’s fastest and easiest to use the online application form. 

If you already have an Online Services Portal account, apply online

For information about applying online or setting up an account, see the Energy Subsidy Schemes Portal Guide

The doctor or specialist will be emailed to complete the medical authorisation form. Once completed, the application will be automatically submitted to RevenueWA. 

If you’re unable to apply online, apply using the paper-based application form. The doctor or specialist must complete the medical authorisation section of the application form before it can be submitted. 

If the application is approved, payment will be made to the nominated bank account within 10 working days of approval. 

Our right to decline

RevenueWA has the right to decline an application (or require repayment of any subsidy already paid) if the Commissioner is of the reasonable opinion that false or misleading information has been provided, or if the eligibility criteria have not been met. Applicants may request a review of the decision.

Renewing your application

You must renew the application each year before your anniversary date, which is the same date the initial application was lodged. 

If you applied through the Online Services Portal or have subscribed to receive renewals by email, we will send an email to let you know your application is due for renewal. You can then log in to your account to renew the application. 

If you are not subscribed, we will send a renewal letter to the nominated postal address. Subscribe via the online services portal to receive renewal and recertification letters by email.  

If your application is not renewed by your anniversary date, the subsidy will automatically be cancelled and you will need to re-apply. 

If the patient’s medical condition is not registered as permanent, the doctor or specialist will need to provide a medical authorisation every two years to reconfirm the patient’s eligibility.

Permanent medical conditions

Patients may be permanently registered for the scheme if they have:

  • extensive loss of skin integrity, with burns to over 50 per cent of the body surface area or
  • severe autonomic dysfunction, specifically: 
    • high spinal transection
    • familial dysautonomia or 
    • progressive neuro-genetic degenerative conditions. 

The doctor or specialist must confirm the thermoregulatory dysfunction is permanent and provide a copy of a medical report confirming this. 

Patients with permanent conditions will still need to have the application renewed each year but will not require medical recertification.