Published: 31 Jul 2019
Physiotherapy management plan
A form to be completed by a physiotherapist providing treatment to workers with a work-related injury or illness. The form must be sent by the fifth consultation to the WorkSafe Agent or self-insurer, employer and treating medical practitioner.
Download PDF and fill form
Important: Please download this PDF to your computer. You can fill it in using Adobe Reader but it will not save if you attempt to fill it in using your web browser.