This form is essential for communicating a worker’s current functional status, recovery progress, and proposed management plan, enabling treating practitioners and insurers to assess whether continued treatment is appropriate and aligned with clinical guidelines. It captures worker and claim details, clinical assessment findings, diagnosis, treatment adherence and physiotherapist details. Completing this form in Heidi supports the accurate recording of clinical assessments, assists with communicating treatment recommendations and ongoing management plans.
Auto-fill with Heidi
Click "Auto-fill Form with Heidi" to open the form in Heidi and complete the fields straight from your note, no copying and pasting.
Review and edit
Check the pre-filled details and make any changes before finalising the form.
Download or save
Download the completed form or save it directly into your patient records and workflows.