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Activities of Daily Living Assessment (ADL)
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Our Staff
Management
Fiona Fonti
Heli Hine
Canberra
Adrian Hassan
Amy Lange
Angela Gray
Calee March
Cassandra Cristaldi
Chloe Creecy
Chris Brown
Courtney Rogala
Deborah Horscroft
Deng Aleer Deng
Elizabeth Rainbird
Emma Norton
Fiona Fonti
Hannah Fearon
Heli Hine
Holly Sheppard
Isabel Vargas
Jenny Woodhouse
Jessica Johnson
Kirsten Derriman
Laura Wellsmore
Michael Reeve
Newcastle/Central Coast
Trudy Simpson
Sydney
Adrian Hassan
Alison Bause
Fiona Fonti
Administration Team
Nicholas Fonti
Others
Adrian Hassan
Jasmin Caterer
Training/Events
Training
Effectively engaging with GPs:
Manual Handling Training
Events
Case Manager Forum
Past Events
Ageing well at work
Case Manager Forum
Performance Managing People with Mental Illness
Predictors and Warning signs for a Pending Compensation Claim
Resilient People and Workplaces
Strategies for successfully managing mental illness in the workplace
Workers Compensation Rehabilitation Forum
Work Health & Safety Forum
Workstation Assessment Training – 18 August 2016
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Results January 2017 to December 2017
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Medico-Legal Services Referral Form
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Referrer Details
Contact Person
Position
Company Name
Contact tel.no
Case Reference Number
Fax
Email
ABN
Mailing Address
Appointed by (client name):
Claimant Details
Plaintiff/Defendant’s name
Date of Birth (if applicable)
Address
Occupation/Nature of Business
Contact No. (H)
Contact No. (W)
Interpreter Required? Y/N
Yes
No
Language spoken
Claim Details
Claim No:
Details regarding the claim (nature of claim, details re plaintiff and defendant as relevant)
Nature of the injury/condition
Date of Injury / Onset of Condition
Other Information
Review of documents
Urgency
Preferred location of Assessment
Sydney metropolitan
Canberra
Rural Australia
Other capital cities of Australia
International
Referral Details & Instructions
Report Content Required:
Category 1
- Personal care needs and ability to perform activities within their home.
Category 2
- Personal care needs and ability to perform activities within their home, family, work and community, including their needs for equipment, modifications, and replacement costs of such.
Category 3
- Personal care needs and ability to perform activities within their home, family, work and community, including their needs for equipment, modifications, and replacement costs of such, and incorporating standardized measures and formal Functional Capacity Evaluation. This may assist with provision of information regarding consistency in performance over time and place.
Category 4
- Comprehensive functional and personal care needs, in addition to their ability to return to pre-injury employment, and/ or the likelihood of their ability to undertake new employment opportunities.
Category 5
- Specific employment capabilities, including ability to perform past work duties, need for future work retraining programs, ability to use transferrable skills in re-employment process and needs for work coaching and skill development. This may be in addition to personal care needs assessment and functional capacity assessment, or stand as a separate report.
Category 6
- Comprehensive past, current and future care needs, as may be required with a more complex injury, including their ability to perform activities within their home, work and community, their need for equipment and modifications, and the replacement costs of such over life time.
Category 7
- Comprehensive care, nursing and medical needs as is required to identify short or long term personal care and nursing needs for an individual experiencing catastrophic and life changing injuries, with high levels of personal care needs.
Category 8
- Please contact us to determine the particular circumstances and need of our clients prior to determining the inclusions and matters to be assessed and reported.
Please detail any further requests or relevant information in addition to the report content option selected
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