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REFERRAL FORM Health Practitioner Social Prescribing pilot program Injured Workers This is a program designed to link injured workers to social activity groups and supports. Social Prescribing is

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How to fill out pccs injured workers referral

01

Start by gathering all the necessary information about the injured worker, such as their name, contact details, and employment information.

02

Obtain the injured worker's medical records and any relevant documentation related to the injury or accident.

03

Complete the PCCS Injured Workers Referral form by filling in all the required fields, including the worker's personal details, description of the injury, and any known treatment received.

04

Provide a detailed account of the worker's current symptoms and functional limitations caused by the injury.

05

Include any additional information or supporting documents that might be relevant to the referral, such as copies of diagnostic tests or previous medical reports.

06

Make sure to sign and date the referral form, and ensure that all the information provided is accurate and up to date.

07

Submit the completed referral form to the appropriate department or organization responsible for processing such referrals.

08

Keep a copy of the referral form and any supporting documents for your records.

09

Follow up with the organization or department to ensure that the referral is received and being processed.

Who needs pccs injured workers referral?

01

Employees who have been injured at work and require medical treatment, rehabilitation, or further assessment might need a PCCS Injured Workers Referral.

02

Employers or supervisors responsible for workers' health and safety might also need to use this referral form when referring an injured worker for specialized care or assistance.

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