Employment Medicine Second Opinion Medicine Referral Logo

  • Employment Medicine Second Opinion Medicine Referral

  • Referral information

    The Second Opinion Medicine service is a clinical support service available to all treating medical practitioners with patients in the Return to Work scheme for quick access to clinical advice from a medical specialist.


    The treating medical practitioner retains patient care and is under no obligation to implement the recommendations, although it is strongly encouraged.


    This is not a referral for treating and does not fast track a treating referral. It is a stand-alone once off service.

     

    THIS IS NOT A MEDICO-LEGAL SERVICE

  • This form can be saved and completed at a later time.

    You will receive an email with a link to resume filling out the form.

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  • Worker’s details:

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  • Medical information

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  • Certifying Doctor Contact Details:

  • Preferred day and time for specialist to contact:

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  • Other relevant information:

  • Should be Empty: