Referrers

HOW TO REFER

  1. Click Here to download and fill out the enclosed Hydroworks referral form and fax return on (02) 97901878 - or alternatively, fill out the online referral form;

  2. We will call you immediately to discuss client;

  3. We will seek prior approval from the Insurer and NTD;

  4. We will contact client once we receive notification of approval and arrange for an initial assessment. You will be notified immediately as to date of initial assessment;

  5. The Physiotherapist will contact you immediately after the initial assessment to discuss findings and recommendations;

  6. An initial treatment plan report detailing findings, RTW goals, program recommdations, costing etc. will be forwarded to all parties involved:
    - Insurer
    - Rehab, Provider
    - NTD
    - Where patient is still under care of their own Physiotherapist we will also liaise with them regarding our treatment goals.

  7. We will obtain approval from the Insurer to commence treatment program and inform you immediately of commencement date

  8. We commit to regular contact with all parties. If during the course of the treatment program the client is not making progress the Physiotherapist will discuss this with the referrer and if not responding appropriately the program will be ceased.

Online Referral Form

Client Details
Last Name :
Given Name:
Address:
Contact Phone Number:
Occupation:
Accident / Injury Details
Date of Injury:
Nature of Injury :
Insurer Details
Insurer:
Claim Number:
Employment Details
Employer:
Work Status:
At work Off work Other
Treating Doctor
Name:
Contact Phone:
Contact Fax:
Requested Services:
Assessment & Treatment recommendations only
Hydrotherapy
Gym based rehabilitation program

Other, please specify

 

Referred by:
Title:
Date:
Phone:
Fax: