Treatment and Service for Injured Workers
WorkSafe can pay the reasonable costs of medical and allied health services that are:
- to treat a work-related injury or illness for which a claim has been made and accepted
- payable under the legislation including approved by WorkSafe where required
- necessary and appropriate for the worker's injury or illness
- delivered by a service provider registered with WorkSafe and, where appropriate, registered under the Health Professions Registration Act 2005 or approved by WorkSafe.
In most cases an injured worker will rely on you to make referrals or requests where required for medical and like services under the legislation.
A request should provide details of how the proposed treatment or service relates to the worker's work-related injury or illness and should include the:
- claim number
- work injury being treated
- type of treatment requested
- rationale as to why it is required and further supporting medical evidence if required
- proposed date the procedure/treatment will be provided
- number of services proposed or expected duration
- date treatment will be reviewed
- functional goals/outcome measures that will be used to evaluate the treatment
- self-management strategies in place.
WorkSafe Agents will consider the principles of the Clinical Framework when considering whether a treatment or service request is reasonable and appropriate.
Medical and healthcare services which an injured worker can access without a request from a medical practitioner include:
- chiropractic services
- family counselling
- medical services
Some treatment and services that an injured worker requires may need prior approval from their WorkSafe Agent before commencement. As a guide these include medical and like services such as:
- elective surgery and procedures
- car and home mods
- gym and swim programs
- attendant care
- household services.
Independent medical examiners
Independent Medical Examiners (IMEs) are healthcare professionals approved by WorkSafe to conduct independent medical examinations, the findings of which are used in decisions related to WorkSafe claims.
For more information see - Independent Medical Examiners
The release of medical information to WorkSafe and the WorkSafe Agent relevant to an injured worker's WorkSafe claim is authorised by the worker by the Worker's Injury Claim form.