For allied health providers – complete this form, when requested by us, to provide us with an overview of your patient’s injury, outcome measures, goals and other details. For help completing this form, see the separate notes document.
For ongoing treatment to be approved, it must be clinically justified by satisfying the five principles of the Clinical Framework for the Delivery of Health Services.
The TAC is unable to send or receive hard copy documents at this time. Please email forms or other documents to firstname.lastname@example.org and include the client's claim number in the subject line.
- Online Form - Allied Health Treatment and Recovery Plan
- Allied-health-treatment-and-recovery-plan.docx - MS Word 0.12MB
- Allied Health Treatment and Recovery Plan Notes - Webpage
- Allied-health-treatment-and-recovery-plan-notes.docx - MS Word 0.08MB
- Allied health treatment and recovery plan example - PDF 0.11 MB