Authority and consent to release medical information: Form D

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Published: 29 Apr 2020
 
File type: PDF
 
File size: 45.99 kB
 
Length: 3 pages
 
Reading level: Difficult

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.