Get Exercise Physiology Management Plan - Workcover Nsw

The Exercise Physiology Management Plan is an essential document for individuals seeking support for workplace injuries through WorkCover NSW. This guide provides clear, step-by-step instructions on how to complete the form online, ensuring that all necessary information is accurately submitted.

Follow the steps to effectively complete the form online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by filling in the worker's personal details in Section 1. Enter the worker's name, date of birth (D.O.B), gender, claim number, occupation/job title, date of injury (D.O.I), and the diagnosis of the workplace injury as specified in the medical certificate.
3. Next, provide information about the insurer, including the insurer's name and case manager's details. Also, fill in the fax number and email contact for communication purposes.
4. In Section 2, enter the details of the exercise physiologist, including their name, business name, address, phone number, fax number, email, WorkCover provider number, and management plan number. Specify the total number of consultations planned and provide the initial assessment and commencement dates, along with the exercise physiologist’s signature.
5. Proceed to Section 3 to document the outcome measures for assessing and monitoring the worker's progress. Record the measures at the initial assessment, current measures, and anticipated outcomes related to work status and functional limitations.
6. In Section 4, outline any additional costs, including travel, case conferences, or other specified costs related to the management plan.
7. Section 5 requires you to outline the program, identifying barriers to return to work (RTW) and recommending strategies to overcome each barrier.
8. In Section 6, indicate whether the insurer can assist further by providing details of any additional assistance needed.
9. Finally, ensure that all sections are completed, review the information for accuracy, and submit the form online. You may save changes, download, print, or share the completed form as necessary.

Start filling out the Exercise Physiology Management Plan online today to facilitate timely support for your workplace injury.