Application and declaration for registration to provide hand therapy services

Use this form to become registered with WorkSafe Victoria to provide hand therapy services to injured workers.

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Published: 22 Dec 2021
 
File type: PDF
 
File size: 89.31 kB
 
Length: 4 pages
 
Reading level: Medium

What it contains

  1. This form is to be used for all hand therapist applications
  2. All sections of the application form must be completed and all applicant declarations signed.
  3. Only application forms from eligible applicants will be assessed against the Assessment Criteria. 

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