Workplace rehabilitation forms and guidelines
The workplace rehabilitation forms and templates are available for use by both contracted and non-contracted workplace rehabilitation service providers. However, if non-contracted workplace rehabilitation service providers wish to use the forms and templates available they must remove the WorkCover logo from the document.
Forms and templates
IJSP - Midway Report (10 week report) [67KB]
IJSP - Final Report (20 week report) [69KB]
IJSP - Notification of Employment Outcome [60KB]
IJSP - Payment Calculation Form [104KB]
Rehabilitation and return to work plan [214KB]
Closure report [59KB]
Rehabilitation program [200KB]
Rehabilitation progress report [63KB]
Self-evaluation improvement report [46KB]
Contracted workplace rehabilitation service provider registration forms [203KB]
Worker training arrangement [96KB]
Worker training - information for host organisations [56 KB]
Training submission [111KB]
Needs assessment report [87KB]
Authority to Exchange Information
Authority to exchange information - English [92KB]
Authority to exchange information - Amharic [537KB]
Authority to exchange information - Arabic [577KB]
Authority to exchange information - Bosnian [497KB]
Authority to exchange information - Chinese [603KB]
Authority to exchange information - Croatian [496KB]
Authority to exchange information - Dari [567KB]
Authority to exchange information - Dinka [644KB]
Authority to exchange information - Greek [500KB]
Authority to exchange information - Italian [484KB]
Authority to exchange information - Khmer [561KB]
Authority to exchange information - Kurdish [580KB]
Authority to exchange information - Persian [565KB]
Authority to exchange information - Serbian [498KB]
Authority to exchange information - Tagalog [486KB]
Authority to exchange information - Vietnamese [502KB]
Guidelines
Guidance for workplace rehabilitation providers on making training recommendations for workers [664KB]
Training arrangements - Attachments A and B [591KB]
Competency guidelines for workplace rehabilitation service providers [289KB]
Vocational package
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Updated: 07.03.2012
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http://www.workcover.com/health-provider/workplace-rehabilitation/workplace-rehabilitation-forms-and-guidelines
