CONSENT

At HEALTH ABILITY we take pride in helping individuals return to health. As an approved boutique State Insurance Regulatory Authority rehabilitation provider, we help individuals recover through personalised CARE, HELP, SUPPORT and ADVICE!

As an injured worker or person involved in a motor vehicle accident, completing this Consent form nominates HEALTH ABILITY as your rehabilitation provider so we can support, guide, and assist you throughout your recovery in collaboration with your doctor.

Questions or Need Help? Please call us on (02) 8317 7777. Many thanks, HEALTH ABILITY
Passionate About Your Health & Wellbeing

Workers Compensation
CTP
Other
icare
EML
Allianz
GB
GIO
QBE
TMF
SML
Trinity
HII
CMI
Other

I consent to nominate HEALTH ABILITY as my chosen rehabilitation provider to support and assist me throughout my recovery.

By providing this consent, I authorise HEALTH ABILITY to communicate with my insurer, treating practitioners, and any relevant parties involved in my injury/illness/condition management.

I understand that this nomination enables HEALTH ABILITY to coordinate rehabilitation services on my behalf and to receive and share information necessary for planning, delivering, and monitoring my recovery.

I also understand this information will be respected privately and confidentially in line with the Australian Privacy Principles and I can request a copy of the Privacy Policy and understand I can change or cancel my consent.

Rehab Consultants (RC) are allied health professionals who are trained and accredited to provide you expert assistance and support to help you recover from your injury, illness, or condition.
Rehab Consultants have tertiary qualifications, experience, and experience to provide advice, assessment and intervention to help you recover.
They also support you in communicating with the key stakeholders (for example your doctor, physio, employer/supervisor, case manager, etc). involved in your claim.
If HEALTH ABILITY is unable to assist you, you can subsequently select an alternate rehabilitation provider.

HEALTH ABILITY is a State Insurance Regulatory Authority (SIRA) accredited NSW Workplace Rehabilitation Provider #752.

Our team consist of allied health professionals including Physiotherapists, Exercise Physiologist (EP), Occupational Therapist (OT), Psychologists, and Rehabilitation Counsellors.

HEALTH ABILITY provides leading personalised rehabilitation, return to work and other specialist services to assist workers including exercise and mobility programs, functional assessments, pre-employment assessments, ergonomic assessments, developing suitable duties and related services in helping ensure safer work environments for everyone.

HEALTH ABILITY’s parent company ABILITY GROUP are people, health and safety specialists that partner with businesses of all sizes across all industries in helping both workers and employers.

Services include onsite or mobile physiotherapy, exercise physiology (EP) and other allied health services. Work Health & Safety (WHS), risk management, Injury Management, Claim Management, RTW Coordination, Workers Compensation Program Management, and related matters.

To find out more, visit us at abilitygroup.com.au or email [email protected].

Declaration

HEALTH ABILITY ABILITY DECLARATION

I acknowledge that in me, or a representative I have requested to complete it on my behalf, submitting this electronic form is equivalent to me physically signing a paper form.

I also understand if I wish to obtain a copy of my electronic Nomination Consent form, I can request a digital copy at any time via calling our HEALTH ABILITY team on (02) 8317 7777 during business hours.