Medical reports for physical injury
It may be difficult to separate the work-related injury or illness from any 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
Relevant past medical history—brief summary of matters relevant to the current diagnosis and any work-related injury.
- Is the condition a result of employment?
- Does the diagnosis require further investigation with blood tests or radiological examination? Please organise any required investigations—if the investigation requires admission to a private hospital as a day case, you must contact us to obtain prior approval for the investigation. No prior approval is required for MRI examinations ordered by medical specialists.
- Comment on the significance of any pre-existing injury.
- Advise if any work-related component of the condition has now resolved.
Aspects of treatment and rehabilitation
- 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.
- Advise on possible rehabilitation interventions, for example functional capacity assessment, worksite assessment, suitable duties program, or complex multidisciplinary rehabilitation program.
- When do you anticipate the injured worker will be fit to return to work? Include recommended hours and restrictions.
- Could the claimant return to any form of work at this time? This might be unrelated to their original employment. How many hours a week would you recommend and what restrictions or alternate duties might apply and for how long
- Is full recovery likely?
- Detail any non-physical factors likely to slow recovery and rehabilitation. This information is helpful as we can adapt our rehabilitation plan to address these factors, with the injured worker, treating doctors and employer.
- Is the condition stable and stationary? A condition is stable and stationary when the condition is not likely to improve with further medical or surgical treatment. This suggests that the condition has reached maximal medical improvement and that suitable rehabilitation has been carried out.
Release of the report
Please note that 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 injured workers 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