Medical reports for psychiatric injuries
It may be difficult to separate work-related injury or illness from pre-existing conditions (particularly with treatment and rehabilitation activities), however assessment of capacity for work and any permanent impairment must be restricted to the work-related component of the injury or illness.
Questions WorkCover may ask
- Is there a DSM diagnosis? (Relevant to initial or early claims).
- Is there still a DSM diagnosis? (Was there a condition that has now resolved?)
- Relevant past medical history—summary of matters relevant to current diagnosis.
- Is the condition a result of employment?
- Does the psychiatric injury arise as a result of a physical injury?
- Results of investigations or does the diagnosis require further investigation with blood tests or radiological examination? (Please organise any required investigations.)
- Does the injured worker require any further assessment of neuro-psychological status or cognitive function?
- List of stressors—specify all work and non-work related stressors.
Aspects of treatment and rehabilitation
- Results of treatment and rehabilitation to date
- Comment on the likely outcome of current treatment and rehabilitation in returning the injured worker to work.
- Comment on possible options and time frames for future treatment and rehabilitation.
- When do you anticipate the injured worker will be fit to return to work? Include recommended hours and restrictions. Please limit comments on potential incapacity to the next six months—if you feel the incapacity is likely to extend beyond this, please suggest a future review date where you can re-examine the injured worker.
- Could the injured worker return to any form of work at this time? This might be unrelated to their original employment. If yes, how many hours a week would you recommend and what restrictions or alternate duties might apply and for how long?
- Is full recovery likely?
- Is the condition stable and stationary? A condition is stable and stationary when the condition is not likely to improve with further treatment. This suggests that the condition has reached maximal medical improvement and that suitable rehabilitation has been carried out.
Release of the report
Your report will become part of a claim file and therefore may be read by claims staff, our network of advisory doctors, specialists at the Medical Assessment Tribunals, or during legal proceedings.
In addition, the report you provide may be released to another person (usually the worker or employer) under right to information legislation, the workers’ compensation legislation, or as authorised or required by law.
Note: in instances where the release of information could be prejudicial or endanger someone’s health or wellbeing, it must be released to the injured worker through an approved third party such as the treating medical practitioner. The decision to release this information is normally made by the treating practitioner.
The report will be paid in accordance with the table of costs for supplementary services.
Please note the items that require pre-approval from WorkCover and the timeframes that affect the fees that you may charge. We require reports and invoices to be received within 30 days of the examination. To help with payment of your account, your invoice must be a valid tax invoice.
Read about how to invoice us.
- Last updated
- 29 June 2015