Get Worksafe Psychology Treatment Notification Form

Completing the Worksafe Psychology Treatment Notification Form online can help streamline the process of notifying relevant parties about a patient's psychological treatment related to a work-related injury. This guide offers clear, step-by-step instructions to help you fill out the form accurately and effectively.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin filling in the 'Patient Details' section by providing the patient's name, date of birth, date of injury, claim number, and the address and telephone number of the employer.
3. Update the estimated duration of treatment by selecting whether it is short term (0-10 weeks), medium term (11-20 weeks), or long term (21 weeks plus), along with the estimated number of sessions needed.
4. In the 'Psychologist Details' section, input the treating psychologist’s name, address, telephone number, and WorkCover provider number. Also, document the date of the initial psychological treatment provided.
5. Describe the psychological condition being treated in relation to the claimable injury and include any additional relevant information, especially if the injury is not primarily psychological.
6. Move on to the 'Consent' section and enter the short-term goals discussed with the client. Provide details on each goal and estimate the time required to achieve them.
7. Include the signature of the patient, parent, or guardian and the date of signature in the designated fields.
8. Review all entered information for accuracy and completeness, ensuring that any notes regarding ongoing treatment or issues impeding recovery are included.
9. Once all information is completed, you can save the form, download a copy for your records, print it if needed, or share it through appropriate channels.

Start filling out the Worksafe Psychology Treatment Notification Form online to ensure timely processing of your patient’s treatment notifications.