All clients are required to complete the consent form below 48 hours prior to an appointment.
Your authority for the release and collection of medical informationI authorise and consent to any health professional, legal representative, rehabilitation provider, case manager, or Specialist Plus provider disclosing, releasing, or discussing records containing my personal medical information with one another. I understand this information is required for determining and managing my compensation claim, as well as assisting with my treatment.I further authorise and consent that a photocopy of this authority will be sufficient proof of my consent to discuss or provide the requested medical information.