Workers Compensation Referral

To make a Workers' Compensation referral please complete the form below:
  • Injured Worker's Details

  • Date Format: DD slash MM slash YYYY
  • Ideally a mobile phone number.
  • Drop files here or
    If available, please upload relevant documents, i.e. imaging reports, current medical certificate and/or IME report.
  • GP Details

  • Case Manager Details

  • This field is for validation purposes and should be left unchanged.
(08) 9408 0381
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