Make a Referral

Online referral for instructing parties.

Send us a referral through our fully secure and encrypted online referral form. You’ll receive a confirmation email with the details you submit. We aim to respond in 1 working day.

Injured Person’s Details:

Date of birth

Gender

Date of accident

Referrer (Your) Details:

Are you the funding party*?

Funding Party Details:

Are you the claimant’s legal representative?*

Claimant Representative Details:

Are you representing the claimant?*

Select a Service:

Treatment Only

Treatment Only: Facilitation of a documented medicolegal or other clinical recommendation for treatment, consultations, surgery or diagnostics.

What type of treatment do you require? E.g. physiotherapy, psychology etc*

Triage

Triage: Rehab Code compliant triage assessment and treatment for minor MSK injuries.

Desktop Immediate Needs Assessment (INA)

Desktop Immediate Needs Assessment (INA): A remote based desktop assessment that provides a fully costed rehabilitation plan and MDT treatment approach for moderately complex injuries and / or those requiring support with a return to vocation.

Multitrack Immediate Needs Assessment (INA)

Multitrack Immediate Needs Assessment (INA): An in-person assessment that provides a fully costed rehabilitation plan and MDT treatment approach for complex injuries and / or those requiring support with a return to vocation.

Catastrophic Immediate Needs Assessment (INA)

Catastrophic Immediate Needs Assessment (INA): An in-person assessment that provides a fully costed rehabilitation plan and MDT treatment approach for life changing injuries – ABI, spinal cord, major limb amputation, paediatrics.