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Occupational Medicine Referral

Occupational Medicine Service Referral

KINNECT Referral Form

Need further assistance? Contact us at referrals@kinnect.com.au or call us on 1300 546 632. We're here to help!

Reason for Referral(Required)
Help us with the management of an Injured or Ill Worker
Assessment or Advice on Fitness for Work
Assessment or Advice from an Occupational Health Doctor
Training Services
Service Required(Required)
Occupational Medicine(Required)
Training Service

Medical Review Officer – (Prescription Medications)

A specialised service where a qualified medical professional reviews drug test results to determine if a prescribed medication may impact an employee's ability to perform their role safely. This ensures compliance with workplace safety standards while balancing medical needs and fitness for work.

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Medical Review Officer – (Medicinal Cannabis)

A specialised service where a qualified medical professional evaluates an employee's use of prescribed medical cannabis to assess its potential impact on workplace safety and fitness for duty. This service ensures compliance with workplace policies and safety regulations while considering the employee's medical requirements.

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Fitness for Work Assessment (Includes Rehab and Return to Work Assessments)

A specialised service conducted by an Occupational and Environmental Physician. It involves a detailed evaluation of an individual’s physical, psychological, and functional capacity to safely perform their job. This service also includes expert guidance on rehabilitation and return-to-work planning, ensuring a safe and sustainable transition back to the workplace after injury or illness, while considering both the employee's health and workplace demands.

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Chief Medical Officer Services

A professional consulting service where an Occupational Physician functions as the organisations Chief Medical Officer (CMO). These services include overseeing health policies, managing complex medical cases, advising on fitness for work and health risks, and supporting organisational health strategies to promote employee wellbeing and compliance with workplace health and safety regulations.

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Occupational Health Consulting

A specialised service that provides expert advice and solutions to organisations on workplace health and safety matters. It includes assessing risks, developing health management strategies, implementing workplace wellness programs, and ensuring compliance with regulatory requirements to promote employee health, safety, and productivity.

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General Advice from an Occupational Physician

A professional consulting service where an Occupational Physician provides expert guidance on workplace health and safety matters. This may include advice on managing workplace injuries, fitness for work, health surveillance, risk assessments, and strategies to improve employee health and wellbeing, tailored to the specific needs of the organisation.

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Worksite Assessment

Evaluate the suitability of tasks and determine an individual's return to work requirements.

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Functional Capacity Evaluation

An assessment to determine a worker's physical ability for their pre-injury role.

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Psychological Capacity Evaluation

An assessment to determine whether an individuals’ psychological health may impact on their ability to safely carry out their duties at work as well as assessing an individuals’ capacity to perform various psychological or cognitive tasks with respect to their role.

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Ergonomic Assessment

An assessment to evaluate an individual's workstation setup, posture, and work habits to identify and address factors that may cause discomfort or injury.

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Activities of Daily Living Assessment

An assessment to determine the medical, psychosocial and rehabilitation needs of an injured person at their home.

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Support with Return to Work

A service that provides guidance and assistance to help employees transition back to the workplace following an injury or illness, ensuring a safe, sustainable, and effective return to their role.

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Support with Return to Work

A structured meeting involving the Nominated Treating Doctor (NTD), the employer, and other relevant stakeholders, such as rehabilitation providers, to discuss and review an injured worker's progress, treatment plan, and return-to-work strategy. The aim is to ensure alignment, address barriers, and facilitate a smooth recovery and reintegration into the workplace.

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Psychological Assessment

Psychologists available to assist employees overcome barriers in their return to work.

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Injury Adjustment Counselling

Assisting injured workers to overcome psychological barriers, delaying or preventing a return to work.

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Vocational Assessment

A comprehensive evaluation of an individual's transferable skills, qualifications and interests.

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Workplace Counselling

A confidential support service provided to employees to address personal or work-related challenges that may impact their mental health, wellbeing, or job performance. It involves professional guidance and strategies to help individuals manage stress, resolve conflicts, and improve their overall resilience and productivity at work.

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Vocational Counselling

A personalised service that helps individuals explore career options, set employment goals, and develop strategies to achieve them. It focuses on identifying skills, interests, and opportunities, while addressing barriers to employment, such as injuries or changes in career paths, to support sustainable and fulfilling work outcomes.

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Redeployment / Job Seeking

A service to support individuals in transitioning to a new role within their current organisation or seeking employment opportunities outside it. This service includes identifying transferable skills, providing job search assistance, and offering guidance on applications, resumes, and interview preparation to help individuals secure suitable and sustainable employment.

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Job Task Analysis / Job Dictionary

A comprehensive document that outlines the physical, cognitive, and environmental requirements of various roles within an organisation. It provides detailed descriptions of job tasks, essential functions, and associated demands, serving as a valuable resource for recruitment, injury prevention, return-to-work planning, and workforce management.

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Manual Handling Training

A practical program designed to educate employees on safe techniques for lifting, carrying, pushing, pulling, and moving objects. It aims to reduce the risk of musculoskeletal injuries by teaching proper body mechanics, risk identification, and best practices for handling tasks in the workplace.

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Office Ergonomics Training

An educational program designed to teach employees how to set up their workstations and adopt healthy work habits to prevent discomfort and injury. The training covers topics such as proper posture, equipment adjustments, and techniques to minimise strain, promoting long-term comfort and productivity in the office environment.

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Fatigue Management Training

A training program designed to educate employees and managers on recognising, preventing, and managing workplace fatigue. It includes strategies for improving sleep quality, managing workloads, scheduling shifts effectively, and promoting healthy lifestyle choices to enhance alertness, safety, and overall productivity.

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Vehicle Ergonomics Training

A training program designed to educate individuals on optimising their driving posture and vehicle setup to reduce discomfort and the risk of musculoskeletal injuries. It covers seat adjustments, steering wheel positioning, mirror placement, and techniques for minimising strain during prolonged driving, enhancing both comfort and safety.

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Psychosocial Risks - Assessment / Training

A practical program designed to educate employees on safe techniques for lifting, carrying, pushing, pulling, and moving objects. It aims to reduce the risk of musculoskeletal injuries by teaching proper body mechanics, risk identification, and best practices for handling tasks in the workplace.

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What type of Ergonomic Assessment do you require?
What type of Functional Capacity Assessment do you require?


 

About You

Name(Required)
First Last
Job Title(Required)
Company(Required)
Email(Required)
Phone(Required)


 

Employee's Details

Employee's Name(Required)
First Last
Job Title(Required)
Date of Birth(Required)
DD slash MM slash YYYY
Email
Phone
Where is the employee located?(Required)
Injury / Health Condition(Required)
Date of Injury / Onset of Health Condition(Required)
DD slash MM slash YYYY


 

Medication Details

Medication to be Reviewed
Reason for Medication Use
Do you have a copy of the Employee's Prescription for this medication?
Please upload the Prescription(Required)
Max. file size: 20 MB.


 

Other Details

Who will be funding this service?

Private Referrals

KINNECT does not accept private referrals for this service.

Compensation System
Insurer Name
Compensation System
Claim Number
Case Manager / Claims Advisor
Please upload any relevant records / reports
Drop files here or Select files
Max. file size: 2 MB.
    If the file size is >2MB, please email these to referrals@kinnect.com.au
    Please upload information around the employees Job Description and/or Job Demands(Required)
    Drop files here or Select files
    Max. file size: 20 MB.
      If the file size is >2MB, please email these to referrals@kinnect.com.au
      Does your organisation have an Alcohol and Other Drugs (AOD) or Fitness for Work Policy?
      Please upload this policy
      Drop files here or Select files
      Max. file size: 20 MB.
        If the file size is >2MB, please email these to referrals@kinnect.com.au
        Please upload any relevant records / reports
        Drop files here or Select files
        Max. file size: 2 MB.
          If the file size is >2MB, please email these to referrals@kinnect.com.au
          Has the employee previously been seen by or had a previous assessment with KINNECT?
          What was the assessment?
          Pre-Employment Assessment
          Health Monitoring Assessment
          Injury Management Service
          Queensland Coal Mine Workers Health Assessment
          Rail Health Assessment
          Drug and Alcohol Test
          What is the desired outcome of the KINNECT service?
          What is the desired outcome of the KINNECT service?
          Where is the training required and how many employees will require the training?
          Additional information you'd like us to know about this referral