Authority and consent to release medical information: Form D

WorkSafe Victoria’s Authority and consent to release medical information form, subject to and in accordance with the Accident Compensation Act 1985 and the Workplace Injury Rehabilitation and Compensation Act 2013.

Last updated

Jul 2014

Reading level

difficult

File Type and Size

PDF, 236.8 kB

Document Length

3 pages

What it contains

WorkSafe Victoria’s Authority and consent to release medical information form, subject to and in accordance with the Accident Compensation Act 1985 and the Workplace Injury Rehabilitation and Compensation Act 2013.