Make a referral — Hunter Health at Work

Three ways to refer

However suits you best

Send the form

Complete the rehabilitation referral form below. Every field is optional except the ones marked, so send what you have.

Or use the PDF

Prefer paper? Download the same form as a PDF, fill it in and fax or post it to the practice.

Download the PDF form

Or just call

If you would rather describe the case first, call the practice and we will take the details over the phone.

Call 02 4988 6526

Rehabilitation referral form

Referral details

The more of this you can fill in, the faster the case can be scoped. Anything you leave blank we will follow up.

The employee

Employee’s name

Occupation

Address

Phone number

Is the worker

The employer

Employer

Address

Phone number

Fax number

GP or treating doctor

Doctor’s name

Address

Phone number

Fax number

The injury

Date of injury

Date last worked

Type of injury

Insurance

Insurance company

Address

Phone number

Fax number

Claim number

The referral

Specific services required

Referred by

Date

Sending opens your email application with every detail already filled in, addressed to admin@healthatwork.com.au. Nothing is transmitted until you press send there. If the case is sensitive, or you would rather not send it by email, call the practice on 02 4988 6526 or fax 02 4988 6525.

After the referral

What happens next

Referral

An employer, insurer, treating doctor, worker or legal representative can refer. Prompt referral is encouraged.

Scope and timeframe

Reports are prepared in response to a specific request. The timeframe is discussed and agreed with the referrer.

Assessment

Undertaken at the home or the workplace — wherever the activity is most relevant.

Report and liaison

Findings are reported to the agreed timeframe, distributed on a need-to-know basis, with treating doctors kept informed.

Rather talk it through first?

Call the practice and describe the case. We will tell you honestly whether it is one for us, and what the assessment would cover.

Contact the practice Call 02 4988 6526 See the services