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Surgeon Form

ARTP Form

A downloadable Surgeon form for healthcare professionals.
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About this form

The Assessment Report and Treatment Plan (ARTP) Form is used by clinicians in New Zealand to request prior approval from ACC for elective surgical services. It documents essential client and claim details, the clinical diagnosis, injury history, examination findings, and the proposed surgical treatment, including prognosis and post-operative management. Completing the ARTP Form in Heidi supports clear and comprehensive documentation and assists clinicians in preparing complete submissions for ACC surgical funding consideration.

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How to use this form

1

Download the PDF

Click the download button to save the form to your device

2

Print or fill digitally

Print the form for handwritten use or fill it out using a PDF editor

3

Use in your practice

Integrate the completed form into your patient records and workflows

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Specialty

Surgeon

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Type

Form

Last edited

26/1/2026

Created by

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