Ph: (02) 4229 9555
Address: Suite 3/8-10 Victoria St, Wollongong NSW 2500

Work Conditioning Referrals (WorkCover/CTP)

Submit a Referral

Option 1:
Download and Print off PDF version below, complete and fax back to Rehab in Motion on (02) 4225 2081 or email to
Referral Form for GP/Specialist Download PDF OR
Referral Form for Rehab Provider/Allied Health/Insurer/Employer/Other Download PDF


Option 2:
Submit Online Referral Form below

Online Referral Form

Client Details:

Insurer details:

Injury details:

Reason for Referral:

 Upgrade to pre-injury duties Job seeking improve job prospects Chronic pain management Improve injury self-management Pre or post-operative conditioning Other

Referrer details:

 by phone in writing

Treating Doctors details:

 yes no