X
GO

We love hearing from you!

Locations and Contact Details

Work Options Head Office

Ph: (02) 9957 1300 or 1300 TEST4DRUGS
Fax: (02) 9957 1311

Level 8, 146 Arthur Street
North Sydney, NSW 2060

Mail to: PO Box 851
North Sydney, NSW 2059

Coffs Harbour

Ph: (02) 6651 5516 or 1300 TEST4DRUGS
Fax: (02) 9957 1311

Suite 5, 4/30 Orlando Street
Coffs Harbour, NSW 2450

Newcastle

Ph: (02) 4952 4433 or 1300 TEST4DRUGS
Fax: (02) 4952 4419

1/195 Brunker Road
Adamstown, NSW 2289

All Other States / National Line

Ph: (02) 9957 1300 or 1300 TEST4DRUGS
Fax: (02) 9957 1311

Referral Form

Page 1 of 6 - Get Started

Tto request a referral please use our online referral form. On submission an email will be sent to our referral team who will contact you within 24 hours.

When using the form please note that all fields marked with a red bar are required and you will not be able to progress to a subsequent page unless they have been completed.

Start by simply selecting the state in which you work and the service or scheme you wish to access...

Which Scheme or Service Stream do you require (options will change when state is chosen)

Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
No Choice Required
No Choice Required
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
Initial AssessmentFunctional AssessmentVocational AssessmentPlan ManagementADL AssessmentOther
No Choice Required
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
No Choice Required
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentS40 AssessmentADL AssessmentOther
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
No Choice Required
No Choice Required
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
Initial AssessmentFunctional AssessmentVocational AssessmentPlan ManagementADL AssessmentOther
No Choice Required
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
No Choice Required
No Choice Required
No Choice Required
No Choice Required
No Choice Required
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
Initial AssessmentFunctional AssessmentVocational AssessmentPlan ManagementADL AssessmentOther
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
No Choice Required
No Choice Required
No Choice Required
No Choice Required
No Choice Required
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
Initial AssessmentFunctional AssessmentVocational AssessmentPlan ManagementADL AssessmentOther
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
No Choice Required
No Choice Required
No Choice Required
No Choice Required
No Choice Required
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
Initial AssessmentFunctional AssessmentVocational AssessmentPlan ManagementADL AssessmentOther
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
No Choice Required
No Choice Required
No Choice Required
No Choice Required
No Choice Required
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
Initial AssessmentFunctional AssessmentVocational AssessmentPlan ManagementADL AssessmentOther
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
No Choice Required
NESWorksute AssessmentFunctional AssessmentVocational AssessmentOESInitial AssessmentADL AssessmentOther
Initial AssessmentOther
No Choice Required
No Choice Required
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
Initial AssessmentFunctional AssessmentVocational AssessmentPlan ManagementADL AssessmentOther
No Choice Required
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
No Choice Required
No Choice Required
No Choice Required
No Choice Required
No Choice Required
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
Initial AssessmentFunctional AssessmentVocational AssessmentPlan ManagementADL AssessmentOther
Return to Work Plan - Same EmployerReturn to Work Plan - New EmployerInitial AssessmentWorksite AssessmentErgonomic AssessmentFunctional AssessmentVocational AssessmentADL AssessmentOther
No Choice Required

Page 2 of 6 - About the Claimant

Please enter your personal details on this page

NoYes

Page 3 of 6 - Employer Details

Page 4 of 6 - Agent / Insurer Details

Page 5 of 6 - Doctor Details

Page 6 of 6 - Final Submission

Contact Us

Please do not use this form for referrals - use the form on our Referral Page instead.
If you wish to pay an invoice please click here.

 - 

Subscribe

Want to reduce the financial and physical cost of injury to your workplace? Interested in receiving quality tips, news and updates on safety management?